I confirm that the information I have provided are my personal data. I understand that such information may be provided to HSBC Life (Singapore) Pte. Ltd. ("HSBC Life"). By providing this information, I understand and acknowledge that HSBC Life and their respective representatives or agents may collect, use and/or disclose the information I have provided for the purpose of contacting me to assess my suitability to be appointed as a financial representative of HSBC Life. I give my consent for HSBC Life and its representatives and agents to contact me for this purpose.