Esso Smiles Customer Request Form

Please complete the form below in order for us to process your request.

What is the nature of your request?

Esso Smiles points balance transfer

Esso Smiles points adjustment

Other reason(s)

Please provide the information registered to your Esso Smiles card.

First Name *

Last Name *

Mobile Number *

Email *

I acknowledge that the usage of my Esso Smiles card/Esso Smiles-linked credit card that is linked to my Esso Smiles account constitutes acceptance of the Esso Smiles Driver Rewards programme's prevailing Terms & Conditions (including the general notification on personal data collection, use & disclosure for Esso Smiles members) and that the foregoing may be amended from time to time without specific notice to me.I also confirm that all information given in this application form is true and correct and acknowledge that such information will be used for processing my request(s) herein and for my continued participation in the Esso Smiles Driver Rewards programme.