T29297 293716 BOC Supp Form.indd 1 1/15/13 7:09 PM
Name 姓名:
BOC Credit Card Account No. 中国银行信用卡号码 :
- - -
_ _ / _ _ / _ _d d m m y y 日 月 年
Sex 性别
0 F 女 1 M 男
PR 永久居民
Y 是 N 否
NRIC/Passport No.身份证/护照号码
Date of Birth出生日期
Nationality国籍
years annual feewaiver*
BOC Family Rebate Card 中银家庭回扣卡
BOC Healthway Wellness Platinum Card 中银康威白金卡 ( Complimentary 附赠)
Great Wall Card VISA Platinum 长城威士白金卡Great Wall Card MasterCard Platinum 长城万事达白金卡Great Wall Card UnionPay Platinum 长城银联白金卡 ( Complimentary 附赠)
SF
01/2
013
✔
✔
08000001
Sign up for a Bank of China Supplementary Credit Card and enjoy 2 years annual fee waiver (S$75 p.a.).
申请中银附属卡,就能享有两年免付年费。
Name as in NRIC / Passport (Please underline surname)姓名 (与身份证 / 护照一 致并于姓氏下划线)
Mr 先生 Miss 小姐 Mdm 女士 Mrs 太太 Dr 博士
Name to appear on Credit Card (19 characters) 显示在信用卡上的姓名(不超过19个字母)
Please select your choice of BOC Supplementary Credit Cards(s)
5 years annual fee waiver for BOC Healthway Wellness Platinum Card
T29297 293716 BOC Supp Form.indd 2 1/15/13 7:09 PM