Business Referral Program

Thank you for showing interest in this program. Please follow the instructions below to participate:
 
1. Please fill in your details in the form below followed by the details of your friends or business associates whom you wish to refer
2. Please create a code and re-use it in the future when you need to submit a second-round of leads (Format: CGC_YOUR FULL NAME). This is to ensure that we capture all leads under the same code in order to determine which freebie you will be entitled to (if the code submitted is different for each round, the submission will be considered as separate and therefore cannot be combined)
3. Please ensure that all mandatory fields (*) are completed
 
Note: All information provided will be kept private and confidential
 
Your Details:
Name* / Nama:
 

Company Name* / Nama Syarikat:
 

Contact Number* / Nombor Telefon:


Email / Emel:
 

Code* / Kod:
 

Please create a special code and re-use it should you need to submit another round of referrals (format of code: CGC_YOURFULLNAME)
 
 
Your Referrals 1:
Name* / Nama:
 

Company Name* / Nama Syarikat:
 

Contact Number* / Nombor Telefon:
 

Email / Emel:
 

Product of interest* / Produk Kegemaran:
 

 
Your Referrals 2:
Name / Nama:


Company Name / Nama Syarikat:


Contact Number / Nombor Telefon:


Email / Emel:
 

Product of interest / Produk Kegemaran:


 
Your Referrals3:
Name / Nama:


Company Name / Nama Syarikat:


Contact Number / Nombor Telefon:


Email / Emel:
 

Product of interest / Produk Kegemaran:


 
Your Referrals 4:
Name / Nama:


Company Name / Nama Syarikat:


Contact Number / Nombor Telefon:


Email / Emel:
 

Product of interest / Produk Kegemaran:


 
Your Referrals 5:
Name / Nama:


Company Name / Nama Syarikat:


Contact Number / Nombor Telefon:


Email / Emel:
 

Product of interest / Produk Kegemaran:


* I have obtained the consent of my referral to disclose his/her name, company name, contact number and email address to Alliance Bank for the Business Current Account referral program. I am also giving Alliance Bank the permission to disclose my name if my referral requests for my identity
 
 
Should you need any assistance please email SMEreferral@alliancefg.com or call 1800-88-0880
Please click here for terms and conditions