Fixed Deposit Application Appointment Request Form

Full Name (as per NRIC)

Contact Number*

Please enter a valid phone number.Format: 0000 0000.

Email Address*

example@example.com

Preferred appointment date and time*

Personal Data Collection Statement

POLWEL Co-operative Society Limited (POLWEL) recognises its obligations under the Personal Data Protection Act 2012 (PDPA) which includes collecting, using and disclosing personal data for the purpose(s) for which an individual has been informed of given consent to.

By filling up and signing this Appointment Request Form, you agree and consent that POLWEL may collect, use, disclose and process your personal data as provided in this form, in accordance with the Personal Data Protection Act 2012, all subsidiary legislation related thereto, and POLWEL’s privacy policy at https://polwel.org.sg/privacy-policy as may be amended by POLWEL from time to time.

Please verify that you are human*

I acknowledge that I have read and understood the Personal Data Collection Statement.