Priority Banking Member Get Member Referral Form

For escalations, please send an email to :

This offer is valid for successful referrals from 1^st January 2025 until 31^st December 2025 only.

Staff Details

Staff Name

Staff Email

Staff Mobile Number

Department Name

Customer details

Customer Name

Customer Email

Customer Mobile Number

Referral Name

Referral Email

Referral Mobile Number

*I hereby confirm that I have taken consent from the referral to submit their details for the chosen product.

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