Feedback Form / Borang Maklum Balas

Customer's details / Maklumat pelanggan

Please fill in the following details and tick where appropriate / Sila isikan butir-butir berikut dan tandakan pada kotak berkenaan

Are your comments / Adakah komen anda Compliment / Pujian

Suggestion / Cadangan
Complaint / Aduan

Customer of / Pelanggan : Alliance Bank Malaysia Berhad (ABMB) Alliance Islamic Bank Berhad (AIS)
Alliance Investment Bank Berhad (AIBB) Alliance Investment Management Berhad (AIMB)

Name / Nama :

Address / Alamat :

Postcode / Poskod :

I/C No. / No. K/P : New / Baru : Old / Lama :

Tel Off / Tel Pejabat : H/Phone No. / No. Tel Bimbit :

Tel Hse / Tel Rumah : Email / E-mel :

Customer's feedback / Maklum balas pelanggan :

Date of feedback : Client Code:

Tarikh maklum balas Kod Pelanggan (Applicable for AIBB/AIMB clients / Khas untuk pelanggan AIBB/AIMB)

Account No. :
No. Akaun (Eg. Loan accounts, Credit Card, Current Acount, etc. / Akaun pinjaman, Kad Kredit, Akaun Semasa, dll. )

Description of feedback :
Deskripsi maklum balas

Please continue on separate sheet if insufficent space / Sekiranya ruang tidak mencukupi, sila sambung di kertas berasingan

Customer's signature / Tandatangan pelanggan

For Bank's use only: Contact us / Hubungi kami :
Untuk kegunaan Bank sahaja Group Complaints Unit
Feedback received by / Maklum balas diterima oleh : Address / Alamat :
Name / Nama : 4th Floor, Menara Multi-Purpose, Capital Square
8 Jalan Munshi Abdullah, 50100 Kuala Lumpur
Designation / Jawatan : Tel: 03-7490 9738/9783/9787
Fax / Faks : 03-5621 5624
Branch / Cawangan : Email / E-mel : info@alliancebg.com.my