Special Assistance For Gas Pipeline Fire Tragedy, Putra Heights

Bantuan Khas Tragedi Kebakaran Paip Gas, Putra Heights

Agrobank is deeply concerned about the difficulties caused by the recent gas pipeline fire tragedy at Putra Heights. Thus, Agrobank is offering special assistance to our customers who are affected.

Please fill up the application form below and we will get back to you as soon as possible.

For further information and any inquiries regarding the above matter, please:

visit the nearest Agrobank branches; or
contact our Call Centre at 1-300-88-2476.

^*Applicant Name/Company: Nama Pemohon/Syarikat

^*ID No. (Without "-"): No Kad Pengenalan (Tanpa "-")

Registration Company No. (if any): No Pendaftaran Syarikat (jika berkaitan)

^*Residential Address: Alamat Tetap

Company Address: Alamat Syarikat (jika berkaitan)

^*Email: Emel

^*Mobile No: No Telefon Bimbit

^*Types of Financing: Jenis Pembiayaan

^*Types of Application: Jenis Permohonan

^*Please tick Sila Pilih Please agree to our notice privacy/ Sila bersetuju dengan notis privasi

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By filling up this application form and submitting it to us, you hereby agree and acknowledge that all information disclosed in this document will be processed in accordance with the relevant laws, including the Personal Data Protection Act 2010 and our PDPA Policy which is available at our website (/home/disclaimer/personal data-protection-act/). For any inquiry, you may visit our nearest branch.