REDEMPTION FORM / BORANG PENEBUSAN

Complete the form and send via / Lengkapkan borang dan hantar melalui:
Mail / Mel : BSN Redemption Unit, Cards Business Department
Ground Floor, Block A
No.117, Jalan Ampang, 50450 Kuala Lumpur
Fax / Faks : 03-2162 2659
E-mail / E-mel : cardservices@bsn.com.my
Enquiries / Pertanyaan : BSN Contact Centre - 1 300 88 1900

Product Code / Product Description / Quantity / Total Happy Points Required /

Kod Produk Keterangan Produk Kuantiti Jumlah Happy Points Yang Diperlukan

RM10 Voucher Sijil Simpanan Premium /

BSN001
Baucar RM10 Sijil Simpanan Premium (SSP)
MAS Enrich Miles
ENH001 MAS Enrich Membership No. / No. Keahlian
M H
MAS Enrich
AirAsia BIG Points
AAB001 AirAsia BIG Membership No. / No. Keahlian
AirAsia BIG
“I hereby confirm the above order and agree to the Terms and Conditions stipulated in the BSN Happy Rewards
Programme. Please process my redemption request and deduct the required number of Happy Points from my BSN
Visa/MasterCard account.” / Saya dengan ini mengesahkan pesanan di atas dan bersetuju dengan Terma dan Syarat yang
ditetapkan di dalam Program Happy Rewards BSN. Sila proses permohonan penebusan saya dan menolak bilangan Happy
Points yang diperlukan dari akaun Visa/Mastercard BSN saya.
Cardmember’s Name / Nama Ahli Kad : ______________________________________________________________
Delivery Address / Alamat Penghantaran : ______________________________________________________________
______________________________________________________________
No delivery will be made to P.O.Box or oversea address / Penghantaran tidak akan
dibuat ke alamat peti surat atau alamat luar negara.
Card Account No. (For Principal Cardmember Only) / No. Kad Akaun (Untuk Ahli Kad Utama sahaja):

New NRIC No./ No. KP Baharu: Card Expiry / Tempoh Luput Kad:
/
Tel (Office/Home) / Tel (Pejabat/Rumah): E-mail Address / Alamat E-mel:

Handphone No. / No. Telefon Bimbit:

Note / Nota:
 For SSP redemption, you must have a valid BSN Giro/-i
account / Untuk penebusan SSP, anda mesti mempunyai
akaun Giro/-i BSN yang sah
______________________________________________________  For Enrich Miles or AirAsia BIG Points redemption,
Principal Cardmember’s Signature / Tandatangan Ahli Kad Utama you must provide a valid membership number / Untuk
penebusan Enrich Miles atau AirAsia BIG Points, anda mesti
Date / Tarikh: ______________________ mengisi nombor keahlian yang sah
*To avoid duplication, please DO NOT mail your form if you have faxed it to us / Untuk mengelakan pertindihan, jangan hantarkan borang anda jika
anda telah menghantarnya melalui faks kepada kami.

FOR BANK USE

Date Received Received By Process Date Quantity Processed By Reference No. Remarks

RF-01 (0520)