Cash Instalment Plan (Instacash)

Name / Nama :

Name as per MyKad / Nama seperti di MyKad

Telephone No. (Handphone) / No. Telefon (Bimbit) :

NRIC No. (New) / No. Kad Pengenalan (Baru) :

Without (-) / Tanpa (-)

E-Mail address / Alamat E-Mel :

BMMB Credit Card-i No. / No. Kad Kredit-i BMMB :

16 Digit

Expiry Date (MM/YY) / Tarikh Luput (BB/TT)

Amount / Amaun (RM)

Minimum RM 1,000

BMMB Account Number / No Akaun BMMB

to credit the approved CIP amount

CIP Plan

Declaration

I hereby request to apply for InstaCash as specified above. I agree that this application and conversion is made at my sole instruction and that the final decision is subject to credit assessment and Bank Muamalat’s sole discretion. I further agree that the Bank reserves the right to approve my InstaCash application for a lower amount than requested as it deems appropriate, without any obligation to notify me or obtain my prior consent.

I acknowledge that I have read and understood the Bank Muamalat’s Product Disclosure Sheet Credit Card-i, Product Disclosure Sheet Credit Card-i Cash Installment Plan, Terms & Conditions for Cash Instalment Plan (InstaCash) and the Cardholder Agreement and shall abide by it.

Please Tick Both Boxes