GC Exceptional Loan Application Form

SECTION B: Applicant's Bank Details

The purpose of crediting loan amount.
Name of Bank*

DBS/ POSBUOBOthers, pls specify
Name of Bank Account Holder(s)*
Bank Account Number*
Upload a copy of your Bank Book or eStatement (showing Name and Bank Account Number)*

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SECTION E: Personal Data Collection Statement
POLWEL Co-operative Society Limited (POLWEL) recognises its obligations under the Personal Data Protection Act 2012 (PDPA) which include the collection, use and disclosure of personal data for the purpose for which an individual has given consent to.

By filling up this application form, I hereby agree and consent that my personal data provided in this form and all other forms related to my application may be collected, used, processed and disclosed by POLWEL for the purposes of processing my application, as well as for all matters pertaining to the loan, in accordance with the Personal Data Protection Act 2012 and all subsidiary legislation related thereto.

I have notified and confirm that I have obtained the consent of the relevant third parties to have their personal data collected, used and/or disclosed by POLWEL in relation to my loan application.

In respect of disclosure, I understand that POLWEL may disclose the personal data contained herein to third parties (which may be in or outside of Singapore) where necessary for the above-stated purposes.
I acknowledge that I have read and understood the Personal Data Collection Statement.
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SECTION F: Declaration and Agreement
I hereby declare that the details furnished are correct and true to the best of my knowledge and I confirm that I understand and agree to the Personal Data Collection Statement and POLWEL Privacy Policy at https://polwel.org.sg/privacy-policy.

I accept that if any of the information given by me in this application is in any way false or incorrect, and/or if I withhold updates to the above information at any instances throughout my loan application, I may be disqualified from taking the loan or my application being rejected.
I acknowledge that I have read and understood the above.
Signature of GC Loan Applicant*

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Verification Check*
Date*

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Date
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SECTION A: Applicant's Personal Details