Complete all fields marked with an asterisk (*).
Sorry, you can't apply the form before 27-09
You're almost done. Just make sure everything's correct before submitting your application.
First name
{{firstName}}
Last name
{{lastName}}
HSBC credit card number
{{cardNumber}}
Phone number
{{phoneNumber}}
NIC or passport number
{{idNumber}}
Transaction currency
{{transactionCurrency}}
Transaction amount
{{amount}}
Transaction date
{{transactionDate}}
Merchant category
{{merchantCategory}}
Merchant name
{{merchantName}}
Instalment plan
{{noOfMonths}}
Thanks for applying Please keep this reference number handy in case you need to contact us.
Reference number: {{refNo}}
Your application is subject to approval. We'll process it within 14 days and let you know the outcome via SMS.
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