BMMB Credit Card Application

Name

Name as per MyKad

MyKad Number

without (-)

Official Company Email

Contact Number

Handphone Number

Declarations

IMPORTANT: Please read our Personal Data Protection Notice ("Notice") and Product Disclosure Sheet ("PDS") before completing this form. By giving us your personal data and signing this form; you are indicating to us that you consent and agree to the terms of our Notice; PDS and the terms of this form and for the process and disclosure of data under the Personal Data Protection Act 2010. Our Notice and PDS is available on our website at www.muamalat.com.my and from any of our branches.

PENTING: Sila baca Notis Perlindungan Data Peribadi ("Notis") dan Risalah Pendedahan Produk ("RPP") kami sebelum melengkapkan borang ini. Dengan memberikan data peribadi anda kepada kami dan menandatangani borang ini; anda memaklumkan kepada kami bahawa anda memberi kebenaran dan bersetuju terhadap terma-terma Notis; RPP dan terma-terma di dalam borang ini dan juga untuk proses dan pendedahan data di bawah Akta Perlindungan Data Peribadi 2010. Notis dan RPP kami boleh di perolehi daripada laman sesawang kami di www.muamalat.com.my dan di mana-mana cawangan kami.