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Payment convenience. Anywhere, anytime!
Certified to ISO 9001:2000Cert. No. : AR 1350
SIRIM
Certified to ISO 9001:2000Cert. No. : AR 1350
SIRIM
CIMB e.MasterCard – Payment convenience. Anywhere, anytime!Payment convenience is yours with the all new CIMB e.MasterCard! Just get it, top up and start shopping anywhere, anytime!
With no income requirement, great benefits, rewards and amazing privileges, the Free-For-Life CIMB e.MasterCard is a perfect payment option for college and university students.
Get yours today and maximise life to the fullest.
Absolutely Free-For-Life
Experience year after year of financial freedom – with no joining or annual fees, ever.
RM5 MPH Book Voucher*
Charge RM90 & above at MPH and receive a FREE RM5 MPH Book Voucher*.*Promotion is valid from 1 October till 31 December 2010.
Secure e-Pay
A new online payment service for Internet purchases, which is safe, secure and convenient.
EZ Top-up
Convenient and fast top-up at over 350 CIMB Bank branches nationwide.
Worldwide Acceptance
Accepted at all MasterCard merchants worldwide. Just lookout for this .
Exclusive Discounts
Enjoy amazing discounts at over 500 merchants nationwide.
MasterCard
Fast, easy and no signature required. Just ‘tap & go’ at merchant’s point-of-sale PayPass reader for any amount below RM150.00.
paypass™
No Income Requirement
Perfect for everyone – students, fresh graduates, travellers, expatriates, etc.
CIMB e.MasterCard Application FormCertified to ISO 9001:2000Cert. No. : AR 1350
SIRIM
Certified to ISO 9001:2000Cert. No. : AR 1350
SIRIM
Certified to ISO 9001:2000Cert. No. : AR 1350
SIRIM
Certified to ISO 9001:2000Cert. No. : AR 1350
SIRIM
FREE FOR LIFEIMPORTANT NOTE• Please enclose a photocopy of IC (both sides).
No minimum income requirement18 years old
IncomeMinimum Age
REQUIREMENTS
Level 2, Menara SBB, 83, Medan Setia 1, Plaza Damansara, Bukit Damansara, P.O. Box 11751, 50756 Kuala Lumpur. Tel : 03-6204 7788 Fax : 03-2381 7198 Email: [email protected]
Name :
Relationship : Home Tel :
Office Tel : Mobile Tel :
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MY EMERGENCY CONTACT PERSON (RELATIVE / FRIEND NOT STAYING WITH ME)
Please Send My Card To : u Home u CIMB Bank Branch At (For My Collection)
MY CARD DELIVERY INSTRUCTIONS
I confirm that all information given above is true and complete. I hereby authorise CIMB Bank Berhad [13491-P] ("CIMB Bank" or "Bank") to verify the information from whatever source and by whatever means that the Bank may consider appropriate.I confirm and agree that the Bank is at liberty to disclose my information, obtained during the process of this registration from any source whatsoever, to any CIMB Group members and/or any person as the Bank may deem fit. Further, the recipient of such information from the Bank is allowed to store and use such information for such purposes as they deem necessary. I confirm that any card issued to me shall not be used by me for or in connection with any unlawful activity or purpose (including without limitation online gambling).I hereby declare that by using the card offered to me for making purchases of goods and/or services at MasterCard Merchants with prepayments made by me. I agree to be bound by the respective Terms and Conditions imposed by CIMB Bank and MasterCard which may from time to time be varied at their absolute discretion. I hereby authorise CIMB Bank to deduct the prevailing card fees from the pre-payments made by me.I hereby undertake and confirm that the transactions to be effected using the card account(s) and monies or funds to be used for topping-up of the prepaid card account(s) are neither obtained from any unlawful source nor relate to any unlawful activities as defined under the Anti-Money Laundering and Anti-Terrorism Financing Act 2001.
‘DECLARATION’ SECTION
Signature :
Date :
u Mr u Miss u Madam u Dr
u Others
Full Name As In NRIC :
Name To Appear On Card (Not More Than 19 Letters) :
Date Of Birth (DD/MM/YYYY) : Nationality :
Old I/C No. : New I/C No. :
Race : u Malay u Chinese u Indian u Others
Sex : u Male u Female
Marital Status : u Single u Married u Widowed u Divorced
Name of University :
Year of Graduation :
MY PERSONAL DETAILS
/ /
MY PERSONAL SECURITY CODE
Mother’s Maiden Name :
MY BILLING ADDRESS
Residential Address : u As Per I/C
Postcode :
Home Tel : Mobile Tel :
E-Mail :
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SMSA 0 0 3 1
Please complete the acceptance form and fax it back to us at 03-2381 5533 or e-mail to us at [email protected] together with a copy of I/C (front and back).
