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By providing the information set out above and submitting this form, you agree that Standard Chartered Bank (Singapore) Limited (the "Bank") may collect, use and disclose your personal data and other relevant information, as provided by you in this form, in accordance with the Personal Data Protection Act 2012, the Bank's privacy statement available at, and/or otherwise for the purposes set out in the Bank’s Customer Terms at and to assist or follow up on your request for us to contact you regarding our banking products and/or services.

Please visit the Bank's website at for the Bank's Customer Terms and other product terms that may be applicable to you. In addition, you may refer to for further details on the Bank's privacy statement, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data.