UAF Members-Get-Members Program Application Form
Please fax the completed form to United Asia Finance at 2681 8899
(*Mandatory Field)

Please select the Reward Type : (selected Reward Type cannot be changed once confirmed) *

Supermarket Coupon
Cash to be credited to my UAF e-Cash Revolving Loan Account
Account No.:

Introducer's Information
Salutation *
Name in English *
HKID Card No. *   ()
Contact No. *
E-mail Address
Correspondence Address
Remarks: The referral gift/redemption letter will be mailed to the above given address upon successful introduction.

Referee's Information
Salutation *
Name in Chinese
Name in English
Contact No. *
E-mail Address

Declaration
I ("the Introducer") hereby provide United Asia Finance Limited (known as "UAF") with the referee's information as listed above for UAF's appropriate use. I understand that UAF shall contact the referee(s) for the purpose of promoting UAF's product and financial services. By signing the below, I confirm that I have obtained the consent form the referee(s) to disclose his/her personal information to UAF and agree to accept the terms and conditions of this Members-Get-Members ("MGM") Program.
I have been advised by UAF that I am not acting as guarantor of the referee(s) under this MGM Program and shall incur no liability in respect of any potential that may be incurred by the referee(s) to UAF for his/her loan application unless a guarantee is signed by me.

Signature of Introducer Date