Amanah Raya Berhad Credit Card Application

Name

Name as per Mykad

MyKad Number

without (-)

Mobile Number

Personal Email Address

Credit Card Limit Required

Input

Name Appeared on Card

maximum 19 characters

Mother's Name

Gross Income

Input the exact amount

Declarations

I hereby confirm that I have read and agree to the contents of Privacy Notice. I further acknowledge and agree that all personal data provided by me and/or acquired by Bank Muamalat Malaysia Berhad from the public domain as well as personal data that arises as a result of the provision of services to me will be subject to the Privacy Notice. I hereby agree and authorize the disclosure of my name(s) and other contact details to companies within Bank Muamalat Malaysia Berhad for marketing and for promotional purposes.