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BOC HKGCC VISA Card Application Form

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BOC HKGCC VISA Card Application Form BOC HKGCC VISA Card Perpetual Annual Fee Waiver Hong Kong Residential Country Area OTHER INSTRUCTIONS Application Form Tel. No. Code Code Signature of Main Card applicant (Please do not alter) Date Mobile Phone/ Country Area Please send statement to : Residential Address Company Address Pager No. Code Code ATM Screen Language : Chinese 1 English 2 Accommodation Private Property (Mortgaged) 2 Home Ownership Scheme Housing (Mortgaged) 3 Rented 6 The address selected above will be used as your correspondence address in the event your application Please submit the completed application form with the supporting documents to BOC Credit Card (Int’l) Ltd., 3/F, Bank of China Centre, Olympian City, 11 Hoi Fai Road, West Kowloon. Monthly Installment / Rental: Singly Jointly HKD is approved. Referral Branch / Dept. No. 012 Self-owned (Not Mortgaged) 1 Public Housing / Tenants Purchase Scheme 5 Relatives 4 Quarters / Others 7 Set-up opt-out of “Over-the-limit Facility” function Staff No. 0 0 Education University or above 01 Post Secondary 02 Secondary 03 I request the Company to set up the parameters for my main and additional credit card(s) (if any) SC=390 RoadShow SC approved as a result of this application to decline over-the-limit transaction whenever it occurs so Primary 04 Others 05 CIN record checked: □ No SP / □ Yes with SP, please specify: as to avoid any charge for Overlimit Handling Fee. Please complete in BLOCK Letters and put a “3” in the appropriate box. If you wish to set-up opt-out of Over-the-limit Facility function for other BOC credit card account(s), BOC Credit Card (International) Ltd. (“the Company”) will on the basis of your supporting documents make the JOB INFORMATION final decision either to decline or approve your application and decide on the card type offered, including credit please do so separately for each account. limit, without notice. A full time student applicant should complete a “BOC Credit Card Student Application Employed by (non-contract) Self-Employed Contract (Date of Termination of contract ) Form” (this application form is not applicable for full time students). To find out more about the service terms for opting out of the “Over-the-limit Facility” function, please Housewife Retired Others refer to the enclosed Terms and Conditions. CRC52 Promotion Period: From now until 30 June 2014 Employer/Company Name in English Card Collection: BOC Credit Card collection letters will be sent to you separately. Please select collection BOC HKGCC VISA CARD APPLIED (Please select one card type only) location as follows: If applicant is existing BOC Credit Card cardholder; your new credit card will be mailed Employer/Company Name in Chinese to your corresponding address which has registered in your BOC Credit Card account accordingly. Employer/Company Address in English Bank of China (Hong Kong) District Branch Code District Branch Code Room/Flat Floor Block Bank of China (HK)-Hong Kong Island □ Kwun Tong Plaza Branch 012601 Name of Building □ Central District Branch 012349 □ 177 Ngau Tau Kok Road Branch 012651 □ Kennedy Town Branch 012560 □ Kowloon Bay Branch 012866 Gold Card (101) Classic Card (301) □ 409 Hennessy Road Branch 012611 □ Yau Tong Branch 012785 Annual Income Required Annual Income Required No. & Name of Street □ Bank of China Tower Branch 012875 □ Lam Tin Branch 012815 HK$48,000 HK$48,000 □ Central District (Wing On House) Branch 012916 □ Prince Edward Branch 012351 District HK 1 KLN 2 NT 3 □ Causeway Bay Branch 012828 □ Humphrey's Avenue Branch 012394 □ Heng Fa Chuen Branch 012390 □ Mong Kok Branch 012586 Company Country Area □ Lee Chung Street Branch 012594 □ Yau Ma Tei Branch 012878 Ext. □ Aberdeen Branch 012706 Tel. No. Code Code Bank of China (HK)-NT □ King's Road Branch 012737 □ On Chee Road Branch 012571 □ North Point (Kiu Fai Mansion) Branch 012777 I will not accept a Classic Card if my application not meeting Gold Card requirements. Monthly Salary (HKD) Business Nature □ Tai Po Branch 012591 □ Kam Wa Street Branch 012882 (This application will be considered as an application for Classic card Card if “ ” is not marked) CSET=M14 □ 74 Tai Wai Road Branch 012608 3 □ Taikoo Shing Branch 012888 Position Years of Service Y M □ New Town Plaza Branch 012695 Bank of China (HK)-Kowloon □ City One Sha Tin Branch 012565 □ Wong Tai Sin Branch 012567 □ Ma On Shan Plaza Branch 012805 RELATIONSHIP WITH HKGCC Perpetual Annual Fee Waiver ADDITIONAL CARD APPLICANT for each Additional Card Applicant □ San Po Kong (Wing Lok Building) Branch 012779 □ HKUST Branch 012896 When applying for more than 1 Additional Card, please make copy of this form. □ Choi Hung Branch 012758 □ East Point City Branch 012814 Staff (0471) & 25,000 Gift Points Each one must be signed by the Main Card applicant and returned altogether. for each Main Card Applicant □ Diamond Hill Branch 012813 □ Tsuen Wan Branch 012355 (need to fulfill Spending requirement) Full time staff of Company Member/Individual Associate (0472) Additional Card applicant must be 16 years of age or older. □ Whampoa Garden Branch 012890 □ Kwai Cheong Road Branch 012802 If main card applicant is a student, no additional card will be offered. □ To Kwa Wan Branch 012918 □ Metroplaza Branch 012742 Please provide copy of staff card/Membership Card. The additional card type applied for must be the same as the Main Card. □ 194 Cheung Sha Wan Road Branch 012352 □ Castle Peak Road (Tsuen Wan) 012880 □ Sham Shui Po Branch 012552 □ Kau Yuk Road Branch 012573 PERSONAL DATA Name in English □ Festival Walk Branch 012816 □ Luen Wo Market Branch 012616 □ Kowloon Plaza Branch 012898 □ Sheung Shui Branch 012590 □ Castle Peak Road (Cheung Sha Wan) Branch 012923 □ Tuen Mun Town Plaza Branch 012889 Name in English Formerly Used Name/Alias Chinese Name (if applicable)(Please provide proof(s)) □ Mei Foo Mount Sterling Mall Branch 012566 Formerly Used Name/Alias ID Card No. Nanyang Commercial Bank Chiyu Bank Chinese Name Nationality Branch (if applicable)(Please provide proof(s)) (Please attach copy) If you wish to have ATM facilities, please apply upon card collection at designated branch. ID Card No. Nationality Company Name (Please attach copy) (Please fill in if applicable) RELATIONSHIP WITH THE COMPANY Marital Status Single 1 Married 2 Divorced 3 Age Contact/Mobile Country Area Phone No. Code Code Is the main card applicant and/or the additional card applicant a relatives of any of the director/CEO/credit Date of Birth DD/ MM/ YY Sex M F Relationship with officer of the BOC Credit Card (International) Ltd (“the Company”) or any of its subsidiaries or of the the Applicant Bank of China (HK) Ltd or any of its subsidiaries and/or holding companies? Residential Address (P.O. Box is not acceptable) If Additional Card’s residential address is different from the Main Card, please provide Additional Card applicant’s residential address proof If permanent address is different from the current residential address, please provide additional permanent address proof Yes (Please state his/her details below) Room/Flat Floor Block Additional Card Monthly Credit Limit Out of my personal card "credit limit" as approved by the Company for my main card*, I wish to allocate HKD_______________ , Name of Director/Employee Relationship Name of Building/Estate subject to absolute discretion of the Company, as an upper credit limit for the aggregate amount of retail and cash advance spending for the above additional card(s) for each statement cycle (i.e. "Monthly Credit Limit") Company Name * If the main cardholder does not prescribe a Monthly Credit Limit for the additional cardholder(s), it means one "credit limit" will No. & Name of Street be shared jointly by the main and the additional cardholders. Credit limit will be rounded up to the nearest thousand and expressed in terms of thousands. If the approved additional card monthly credit limit is lower than the one proposed by the main card applicant, the lower limit will apply. BOC Credit Card (International) Ltd/any of its Bank of China (HK) Ltd/any of its District HK 1 KLN 2 NT 3 subsidiaries and/or holding companies subsidiaries and/or holding companies Terms and Conditions for Monthly Credit Limit : 1.Without prejudice to any other terms and conditions □ My permanent address is different from the above (please provide permanent address proof) regulating the use of credit limit assigned to a Card, the Cardholder (including the Main Cardholder and Additional Department Position Cardholder, if applicable) shall strictly observe the monthly credit limit pre-set for each statement period from No I hereby certify that I am not a relative of any of the director/employee of Bank of China (HK) Ltd. Years of Residence E-mail Address time to time. The Cardholder shall not use the Card in excess of such monthly credit limit. Breach of this Clause (Optional) shall not in any way reduce or discharge the liability of the Cardholder for payment of any Charge arising as I undertake to advise Bank of China (HK) Ltd without delay if and when I become a relative of any Y M To receive promotional materials from the Company by e-mail, please fill in this part. a result of such breach. 2.The monthly credit limit will be reset on the first day of each statement period. director/employee of Bank of China (HK) Ltd after submission of this signed application form. YOUR SIGNATURE and its subsidiaries; and (iv) any third party whose name or logo appears on the Card. I/We agree and understand that the data held by To avoid processing delay of your application, please enclose copy I do not wish BOC Credit Card (International) Limited to use my the Company relating to me/us may be transferred to other places of the following documents: personal data in direct marketing via the following channel(s) (including places outside Hong Kong) at any time and from time to Please enclose a photocopy of Hong Kong Identity Card of the (please use “3” to select the channel(s)): time where the Company deems necessary.
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