Register Your Interest (MUAMALAT x EON) Credit Card-i

Name

Name as per MyKad

MyKad Number

without (-)

Preferred Branch

Choose your preferred branch

Contact Number

mobile number

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 in www.muamalat.com.my. 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.

Sales Staff ID

Card Selection

Muamalat Eon Visa Platinum-i

Muamalat Eon Visa Infinite-i