| Step 1 of 3

HSBC Mauritius - Contact Us Form

We recommend that you do not provide any confidential information such as your account number, credit card number etc.

Kindly note that all fields with * are mandatory.

Title
Are you an existing customer

* 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.

| Step 2 of 3

HSBC Mauritius - Contact Us Form

Please confirm and submit your information.

Title

{{title}}

First name

{{firstName}}

Last name

{{lastName}}

Town/Village

{{city}}

Phone number

{{phoneNumber}}

Email address

{{email}}

Are you an existing customer

{{existingCustomer}}

Preferred contact time

{{contactTime}}

Preferred branch

{{branch}}

Comment

{{comment}}

| Step 3 of 3

HSBC Mauritius - Contact Us Form

Thank you for your interest in banking with HSBC. We will be contacting you shortly. 

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