FD Over-the-Counter Appointment Form

Fixed Deposit Over-the-Counter Appointment Form
Salutation*
Surname*
Mobile Number*
Please enter a valid phone number.
Email*
example@gmail.com
Appointment Timing*
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 this appointment form, I / we hereby agree and consent that my/ our personal data provided in this form and all other forms related to my/ our application may be collected, used, processed and disclosed by POLWEL for the purpose of processing my/ our application, as well as for all matters pertaining to the fixed deposit application in accordance with the Personal Data Protection Act 2012 and all subsidiary legislation related thereto.

I / We have notified, and I / we confirm that I/ we have obtained the consent of the relevant third parties to have their personal data collected, used and / or disclosed by POLWEL in relation to my Fixed Deposit application.

In respect of disclosure, I / we understand that POLWEL may disclose the personal data contained herein to third parties (which may be in or outside of Singapore) where necessary for the above- stated purposes.
I/ We acknowledge that I/ we have read and understood the Personal Data Collection Statement.
Should be Empty:

Fixed Deposit Over-the-Counter Appointment Form