HSBC Mauritius - Raise Your Concern Form

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

Please answer all the mandatory questions below.

* 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 that the Information, the Reports and their form, format, mode or method of compilation, selection, configuration, presentation and expression (collectively 'Confidential Information') are trade secrets and confidential and proprietary property of the Bank and the respective Information Providers.