Please confirm:

• HSBC Group, their agents and their authorised service providers can collect, use, disclose and/or process the personal data in this form, in order to inform you about the products or services which you have specified in this form.
• HSBC Group includes HSBC, its affiliates, subsidiaries and related corporations, including without limitation HSBC Insurance (Singapore) Pte Ltd, HSBC Global Asset Management (Singapore) Limited, and HSBC Bank (Singapore) Limited.
• Your consents granted herein are solely in relation to the referral activity requested, for one-time use only and do not supersede or replace any other consents which you have previously provided to HSBC Group in respect of your personal data, and are additional to any rights which HSBC Group may have at law to collect, use or disclose your personal data.
• This form is designed for use in Singapore. If you are outside Singapore, we may not be able to contact you if it would be contrary to the laws and regulations in your country or region of residence.