Debit Card app form green FA_Jan 2011.

pdf 1 2/1/2011 1:13:25 PM

Debit Card app form

FINO AMEX .52

Debit Card YOUR REQUEST IMPORTANT INFORMATION

1. In the case of a Joint Account/ Partnership Account, all parties must sign. Joint Account holder/ partner
New Card (Applicant must be at least 18 years of age) may each possess Bank of Maldives Debit Card for which a separate application form should be
Replacement Card (Specify Reason) furnished for each individual

As a Bank of Maldives American Express Debit Lost/ Stolen Damaged Forgotten PIN Expired
2. The Bank of Maldives American Express Debit Card is valid for use only in Maldives.

Cardmember you will be able to enjoy the following Change Details

benefits: CARD AND PIN DELIVERY
Add Account(s) Delete Account(s) Change Address
Collect from Bank of Maldives Card Centre Post to the above Mailing Address

• Win back what you spend in our exclusive Lucky Draw All outstation branch cards can only be collected from the respective branch.
YOUR DETAILS
Unlike cash, the new Bank of Maldives American Express Debit Your application will be processed within 5 working days. Cards and PINs not collected within one month
will be destroyed.

The Bank of Maldives

Card gives you the chance to win back what you spend in our Mr Ms Dr Others
exclusive monthly draw. The more you spend the more you win. Full Name
DECLARATION
American Express®Debit Card
FINO AMEX .52

- Win back your monthly spend up to MRF 10,000 each month. This declaration is made to Bank of Maldives Plc. By signing below I/we ask a Bank of Maldives
ID Card No. (Please attach a copy) American Express Debit Card to be issued for me/us. I/We confirm that I/we am/are the sole account
- Every transaction gives you one chance to win. holder(s) or have the required mandate to operate all the accounts linked to the Bank of Maldives Debit
- 10 lucky winners, every month from June 2010 to May 2011. Your name as you want it to appear on the Card (Maximum 19 characters including spaces) Card. I/We agree that my/our Debit Card(s) will be only used subject to the terms and conditions of
Bank of Maldives American Express Debit Card (a copy of which is delivered to me/us with my/our Debit
Card(s)) and other account terms and conditions issued by Bank of Maldives Plc. I/We accept that the
What’s more, you could also win MRF 100,000 in our annual usage of the Bank of Maldives Debit Card will be construed by the Bank as acceptance by the Cardmember
Existing customers of Debit or Credit Card or Internet Banking services need not fill in the below
grand prize draw. section unless you wish to change existing details provided to us. If you are a new customer who has
of the terms and conditions applicable to the Card. I/We hereby warrant that the above information given
in this application is true and correct. I/We accept that the Debit Card will be issued at the sole discretion
not applied to any of the above services please fill in your details.
- Simply spend MRF 10,000 by 31st May 2011 for your chance to of the Bank.

www.bankofmaldives.com.mv
Permanent Address
C win.
M
- For every additional MRF 10,000 you spend get an additional The Bank of Maldives American Express®
chance to win. Debit Card was designed to be
Y Applicant’s Signature Date
Mailing Address (If different from above)
CM Start using your Bank of Maldives Debit Card for all your better than cash, bringing you *All your Debit Card/ Credit Card/ Internet Banking service correspondence will be mailed to this address.

purchases and increase your chances of winning.

unbeatable value, convenience and
FINO AMEX .52

MY
Additional Signatures (For joint accounts) Date

CY • Bank of Maldives Privileges security. It’s the only Debit Card in Telephone Mobile
Your Debit Card also entitles you to offers from the Bank FEES AND CHARGES
CMY
the Maldives that gives you the best Email
of Maldives Privileges program where you can enjoy everyday Fee Name Debit Card
K
savings on your dining and shopping within Maldives. Our Marital Status Single Married
savings and privileges in Maldives on Joining/Annual Fee MRF 50
selection of offers includes: Nationality No. of Dependants
everything from everyday shopping Card/PIN Replacement Fee MRF 50
- 10 % savings at some of the best restaurants in Male’. Passphrase (Write your own 4-8 character word for identification and security reasons)
* Bank of Maldives ATMs Cash Withdrawal MRF 2
- Up to 15 % savings at selected shopping outlets. to home improvements to dining.
Bank of Maldives ATMs Balance Enquiry Free
• Security and Convenience You can also access your account Employment Status: Salaried Self-Employed Retired
Sales Slip Retrieval (on disputed transaction) MRF 65
Enjoy peace of mind with our customer service helpline day or night, 7 days a week. Occupation
*Charges per Transaction
available 24 hours a day, 7 days a week. What’s more, Monthly Basic Salary MRF Other Income MRF
Joining/Annual Fee will be charged on the day of registration and in January of each new calendar year.
should your Card be lost or stolen we can arrange for a FINO AMEX .52

All charges, fees and interest rates (finance charges) are subject to change without notice at the Bank’s
sole discretion. Details and fees applicable to the Card and its use are stated in the Bank’s schedule of
replacement, usually within 24 hours in the Maldives, making YOUR ACCOUNTS TO BE LINKED charges.
it the ideal companion for all occasions. If you have a Bank of Maldives Debit Card or access to Maldives Internet Banking facility then the
accounts linked to those services will be linked to the requested Card and therefore you need not
fill in the section below. Please fill the details below if you require to add accounts or remove any
of the existing accounts. Staff ID Initials

Primary Account Currency Add Delete Form received and verified by

Relevant account operation authority for all listed accounts verified by

Additional Accounts to be linked
Signatures for all listed accounts verified by

Application Input to CMS by

January 2011
Bank of Maldives PLC This Card is valid for use only in Checked and Authorised by
Exclusive provider of American Express Cards Maldives
American Express is a registered trademark of American Express Terms and Conditions apply
FINO AMEX .52
 Debit Card app form green FA_Jan 2011.pdf 1 2/1/2011 1:13:25 PM

Debit Card app form

FINO AMEX .52

Debit Card YOUR REQUEST IMPORTANT INFORMATION

1. In the case of a Joint Account/ Partnership Account, all parties must sign. Joint Account holder/ partner
New Card (Applicant must be at least 18 years of age) may each possess Bank of Maldives Debit Card for which a separate application form should be
Replacement Card (Specify Reason) furnished for each individual

As a Bank of Maldives American Express Debit Lost/ Stolen Damaged Forgotten PIN Expired
2. The Bank of Maldives American Express Debit Card is valid for use only in Maldives.

Cardmember you will be able to enjoy the following Change Details

benefits: CARD AND PIN DELIVERY
Add Account(s) Delete Account(s) Change Address
Collect from Bank of Maldives Card Centre Post to the above Mailing Address

• Win back what you spend in our exclusive Lucky Draw All outstation branch cards can only be collected from the respective branch.
YOUR DETAILS
Unlike cash, the new Bank of Maldives American Express Debit Your application will be processed within 5 working days. Cards and PINs not collected within one month
will be destroyed.

The Bank of Maldives

Card gives you the chance to win back what you spend in our Mr Ms Dr Others
exclusive monthly draw. The more you spend the more you win. Full Name
DECLARATION
American Express®Debit Card
FINO AMEX .52

- Win back your monthly spend up to MRF 10,000 each month. This declaration is made to Bank of Maldives Plc. By signing below I/we ask a Bank of Maldives
ID Card No. (Please attach a copy) American Express Debit Card to be issued for me/us. I/We confirm that I/we am/are the sole account
- Every transaction gives you one chance to win. holder(s) or have the required mandate to operate all the accounts linked to the Bank of Maldives Debit
- 10 lucky winners, every month from June 2010 to May 2011. Your name as you want it to appear on the Card (Maximum 19 characters including spaces) Card. I/We agree that my/our Debit Card(s) will be only used subject to the terms and conditions of
Bank of Maldives American Express Debit Card (a copy of which is delivered to me/us with my/our Debit
Card(s)) and other account terms and conditions issued by Bank of Maldives Plc. I/We accept that the
What’s more, you could also win MRF 100,000 in our annual usage of the Bank of Maldives Debit Card will be construed by the Bank as acceptance by the Cardmember
Existing customers of Debit or Credit Card or Internet Banking services need not fill in the below
grand prize draw. section unless you wish to change existing details provided to us. If you are a new customer who has
of the terms and conditions applicable to the Card. I/We hereby warrant that the above information given
in this application is true and correct. I/We accept that the Debit Card will be issued at the sole discretion
not applied to any of the above services please fill in your details.
- Simply spend MRF 10,000 by 31st May 2011 for your chance to of the Bank.

www.bankofmaldives.com.mv
Permanent Address
C win.
M
- For every additional MRF 10,000 you spend get an additional The Bank of Maldives American Express®
chance to win. Debit Card was designed to be
Y Applicant’s Signature Date
Mailing Address (If different from above)
CM Start using your Bank of Maldives Debit Card for all your better than cash, bringing you *All your Debit Card/ Credit Card/ Internet Banking service correspondence will be mailed to this address.

purchases and increase your chances of winning.

unbeatable value, convenience and
FINO AMEX .52

MY
Additional Signatures (For joint accounts) Date

CY • Bank of Maldives Privileges security. It’s the only Debit Card in Telephone Mobile
Your Debit Card also entitles you to offers from the Bank FEES AND CHARGES
CMY
the Maldives that gives you the best Email
of Maldives Privileges program where you can enjoy everyday Fee Name Debit Card
K
savings on your dining and shopping within Maldives. Our Marital Status Single Married
savings and privileges in Maldives on Joining/Annual Fee MRF 50
selection of offers includes: Nationality No. of Dependants
everything from everyday shopping Card/PIN Replacement Fee MRF 50
- 10 % savings at some of the best restaurants in Male’. Passphrase (Write your own 4-8 character word for identification and security reasons)
* Bank of Maldives ATMs Cash Withdrawal MRF 2
- Up to 15 % savings at selected shopping outlets. to home improvements to dining.
Bank of Maldives ATMs Balance Enquiry Free
• Security and Convenience You can also access your account Employment Status: Salaried Self-Employed Retired
Sales Slip Retrieval (on disputed transaction) MRF 65
Enjoy peace of mind with our customer service helpline day or night, 7 days a week. Occupation
*Charges per Transaction
available 24 hours a day, 7 days a week. What’s more, Monthly Basic Salary MRF Other Income MRF
Joining/Annual Fee will be charged on the day of registration and in January of each new calendar year.
should your Card be lost or stolen we can arrange for a FINO AMEX .52

All charges, fees and interest rates (finance charges) are subject to change without notice at the Bank’s
sole discretion. Details and fees applicable to the Card and its use are stated in the Bank’s schedule of
replacement, usually within 24 hours in the Maldives, making YOUR ACCOUNTS TO BE LINKED charges.
it the ideal companion for all occasions. If you have a Bank of Maldives Debit Card or access to Maldives Internet Banking facility then the
accounts linked to those services will be linked to the requested Card and therefore you need not
fill in the section below. Please fill the details below if you require to add accounts or remove any
of the existing accounts. Staff ID Initials

Primary Account Currency Add Delete Form received and verified by

Relevant account operation authority for all listed accounts verified by

Additional Accounts to be linked
Signatures for all listed accounts verified by

Application Input to CMS by

January 2011
Bank of Maldives PLC This Card is valid for use only in Checked and Authorised by
Exclusive provider of American Express Cards Maldives
American Express is a registered trademark of American Express Terms and Conditions apply
FINO AMEX .52