I consent* to HSBC Group, their agents and their authorised service providers collecting, using, disclosing and/or processing the personal data in this form, in order to inform me about the products/services which I have specified in this form:

* I confirm and agree that my consent granted herein are solely in relation to the referral activity requested, for one-time use only and do not supersede or replace any other consent which I may have previously provided to HSBC Group in respect of my personal data, and are additional to any rights which HSBC Group may have at law to collect, use or disclose my personal data.

By providing the information set out above and submitting this form, I/we consent to the collection, use and disclosure of the personal data provided in this form by The Hongkong and Shanghai Banking Corporation Ltd (Mauritius), its agents and authorised service providers and as well as relevant third parties in order to fulfill my/our "contact me" request.