CREDIT CARD APPICATION
(All blanks must be filled in to ensure quick processing.)
Personal Information
First name:
Last name:
Identification:
Home Contact number:
Email:
Mailing Address:
How long have you been residing at the above address?
Is your home rented or owned?
Financial Information:
Job Employment:
Employer:
What is your annual wage? (Check one box)
o Less than Rp 5.000.000
o Rp 5.000.000 – Rp 10.000.000
o Rp 10.000.000 – Rp 25.000.000
o More than Rp 25.000.000
Do you hold any other credit cards? If yes, please indicate types of credit cards you hold. (Ex: Visa, MasterCard, Diners Club, etc.) List up to four.
1) ……
2) …..
3) …..
4) …..
Do you have any outstanding loans with your current credit cards? If yes, please indicate the type(s) of loan(s) and the remaining balance(s).
1) …..
2) ….
1. What would most likely happen if an applicant did not provide all the information?
A. The application will automatically be rejected.
B. The application will take longer to be processed.
C. The application might have to pay a service charge.
D. The applicant’s employer will be contacted.
2. Which of the following information is NOT asked?
A. Name
B. Profession
C. Credit card number
D. Yearly income
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