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Consent Form - Individual

This document is a consent form for United Overseas Bank (Malaysia) Bhd to conduct reference checks on an individual. The individual provides their name, ID number, and mobile number. They consent to the bank (1) processing their information for credit applications and accounts, and (2) conducting credit reference checks with credit agencies for creditworthiness assessments and litigation status checks during credit facilities or accounts. The individual also consents to credit agencies sharing their credit information with the bank for reference checks.

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0% found this document useful (0 votes)
70 views1 page

Consent Form - Individual

This document is a consent form for United Overseas Bank (Malaysia) Bhd to conduct reference checks on an individual. The individual provides their name, ID number, and mobile number. They consent to the bank (1) processing their information for credit applications and accounts, and (2) conducting credit reference checks with credit agencies for creditworthiness assessments and litigation status checks during credit facilities or accounts. The individual also consents to credit agencies sharing their credit information with the bank for reference checks.

Uploaded by

eric anderson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONSENT FORM FOR CONDUCTING REFERENCE

CHECKS ON INDIVIDUAL DATE: D D / M M / Y Y Y Y

PARTICULAR’S INFORMATION
Name (as per IC):

ID Number :

Mobile Phone No. :


DECLARATION

By signing below, I hereby irrevocably and unconditionally give my consent and authorisation, for United Overseas Bank (Malaysia) Bhd (“the Bank”) and its
officers to :-

(a) process the information required for use in accordance and in connection with my application or request for credit facilities, opening of account or
any form of banking services;

(b) conduct the necessary reference checks including but not limited to credit reference/reporting checks on me, with any credit reporting agencies or
any other party, for any of the following purposes:-

(i) in connection with my application or request for credit facilities,


(ii) opening of account or any form of banking services,
(iii) to carry out any periodic review during the tenure of the credit facilities or account,
(iv) to ascertain my creditworthiness or the status of any litigation matters against me in the event that the Bank decides in its sole discretion
that :-

(I) there is an Event of Default (as defined in the agreement executed between the Bank and myself); or
(II) the continuation of the credit facilities or banking services or account could likely be detrimental to the Bank’s position;

(c) obtain and verify any of my information at the Bank’s absolute discretion and as it deems fit which the Bank may require in connection with my
application for credit facilities and/or review of the existing credit facilities from the Bank;

(d) disclose any of my information and/or data relating to my account(s) with the Bank and/or any other information or data as the Bank may deem
necessary to the Bank’s Group Head Office/Parent Company or any company within the United Overseas Bank Group whether in or outside
Malaysia;

at the Bank’s sole discretion without further reference to me. I agree to undertake the responsibility to update the Bank in writing and/or by providing
supporting documents should there be any change to my personal and financial information.

Further and in addition to the above, I hereby irrevocably and unconditionally give my consent and authorization, for any credit reporting agencies or any
other party to disclose any of my credit information (as defined under the Credit Reporting Agencies Act 2010), to the Bank and its officers, for the purposes
set out in paragraph (b)(i) to (iv) above.

Further and in addition to the above, I acknowledge and agree that in respect of any information and/or data furnished under the terms of this consent letter,
the Bank shall be authorised to collect/gather/search the information from any other data sources.

Such consent will extend to any information and/or data obtained from any of my account(s) presently maintained, any new application for any form of credit
or loan or facility, such historical financial or credit records, data or information whether or not provided personally by me or by any other sources which was
collected, gathered, received, captured or compiled, secured and/or obtained by the Bank.

_________________________________________________ ________________________________
Signature Date

[CF-001: 10/14] United Overseas Bank (Malaysia) Bhd (271809K)


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