#SupportLokal Initiative | Alliance Bank Malaysia

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ALLIANCE BANK #SUPPORTLOKAL INITIATIVE

Interested to promote your business and gain access to new customers nationwide? Join us on #SupportLokal.

Fill up the form below and we will contact you if you are selected.
* Open to Alliance Bank SME customers that are Merchants registered in Malaysia.

LanguageBahasa : English | Bahasa Melayu

* Mandatory FieldsWajib untuk diisi

Are you currently a business customer of Alliance Bank?Adakah anda pelanggan Alliance Bank (Perniagaan) * :

Yes / YaNo / Tidak

Company NameNama Syarikat * : (as per SSMmengikut garis panduan SSM)

Business Brand NameNama Jenama * :

Full Name of Business OwnerNama Penuh Pemilik Perniagaan * : (as per NRICmengikut Kad Pengenalan)

Full Name of Person in Charge of MarketingNama Penuh Pengurus Pemasaran * : (as per NRICmengikut Kad Pengenalan)

Position of Person in Charge of MarketingJawatan Pengurus Pemasaran * :

Mobile NumberNombor Telefon Bimbit * :

Email Address of Person in Charge of MarketingAlamat E-mel Pengurus Pemasaran * :

Referral Code (optional)Kod Rujukan (tidak wajib) :

Provide details of your official website and social media channels belowBerikan butiran laman web rasmi dan saluran media sosial anda dalam ruangan di bawah * :

Short Write-up of Your Business for B2C - refer to the examplePenerangan ringkas berkenaan mengenai perniagaan anda untuk B2C - rujuk contoh heredi sini * :

(Limited to 200 characters or lessTerhad kepada 200 aksara atau kurang)

One Short Liner on Promotion or Business Shout-out - i.e. special promotion code, discount, free shipping/delivery or one key thing about your businessSatu penerangan ringkas untuk promosi – i.e. kod promosi khas, diskaun, penghantaran percuma atau satu perkara penting tentang perniagaan anda. * :

(Limited to 100 charactersTerhad kepada 100 aksara)

Link to Promotion (only one link applicable)Pautan ke Laman Web Promosi * :

Hi-resolution of Your Company Logo (PNG or JPEG)Logo Syarikat anda yang beresolusi tinggi (PNG atau JPEG) * :

Who are your customers?Siapakah pelanggan anda? *

Individuals / Individu
Businesses / Perniagaan
Both / Kedua-dua

Which of our partner e-commerce platforms would you like to be listed in?Sila pilih platform e-dagang rakan kongsi kami yang anda ingin perniagaan anda disenaraikan

Shopee
Pybli
Shoppymore
BigRewards

DeclarationPengakuan * :

I/We hereby irrevocably and unconditionally consent and authorise the Bank to process (including but not limited to collect, use, store and share) and disclose to the above selected e-commerce platform partners information provided for the purpose of participation in this program. I/We further confirm that the Bank shall not howsoever be liable to me/us for the furnishing of such information to selected e-commerce platform partners for purpose of onboarding to their platformsSaya/Kami dengan tanpa syarat membenarkan dan memberikan kuasa kepada pihak Bank untuk memproses (termasuk tetapi tidak terhad kepada mengumpul, menggunakan, menyimpan dan berkongsi) dan mendedahkan kepada rakan kongsi platform e-dagang terpilih maklumat yang disediakan untuk tujuan penyertaan dalam program ini. Saya/Kami juga mengesahkan bahawa Bank tidak akan bertanggungjawab kepada saya/kami dalam apa jua cara untuk pemberian maklumat tersebut kepada rakan kongsi platform e-dagang terpilih untuk tujuan pendaftaran di platform mereka.