65th Anniversary Premium SAVER Account Promotion Form
Claim Your Extra Lucky Draw Chance

Register your details and your referrer's information below to earn a chance to win an adventurous holiday for 2 to Labuan Bajo or a 5-night Singapore staycation.

What You Can Win

• Grand Prize: An adventurous 6D5N holiday for two to Labuan Bajo.
• First prize: A 5-night staycation to rediscover Singapore.
• Find out more about the 65th Anniversary Promotion here.

How It Works

1. Register: Enter your details and the contact info of the person who referred you.
2. Earn Bonus Entry: You and your referrer instantly secure an extra chance to win.

Registration Form

1. Your Details (The Referee)

Salutation

Please select Mr Mrs Ms Mdm

Full Name (as per account)

Year of Birth

Please select 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906

Email Address

2. Who Referred You? (The Referrer)

Salutation

Please select Mr Mrs Ms Mdm

Full Name (as per account)

Year of Birth

Please select 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906

I understand that my personal data submitted via this form will be used to manage and respond to my feedback/enquiry/request, and I have read and understood the HLF Data Protection Notice.

Submit

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