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CIMB Member-Get-Member Campaign e-Form

*This field is mandatory.

A “Referrer” is an existing-to-bank customer who wishes to participate in this campaign to recommend a new business client to CIMB.

A “Referred entity” is a potential new business client recommended by the referrer.

Referrer’s Company Name*

Referred Entity's Company Name*

Referred Entity's Name*

Referred Entity's Email Address*

Referred Entity's Contact Number*

Designated CIMB Relationship Manager (RM) to handle (if any, please indicate RM Name)

Declaration and Confirmation by Referrer*

This is a required field

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Review and submit.

Cardmember Details

Edit

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Edit

Redemption Item(s)

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Total Points

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Thank you for referring a case to us. If the referred entity meets all the campaign criteria, you will receive your referral reward soon.