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CREDIT CARDS APPLICATION FORM*Choose your Emirates NBD Credit CardMarriott Bonvoy WorldMastercard Credit CardAnnual Fee AED 1,500Skywards InfiniteCredit CardAnnual Fee AED 1,500U By Emaar InfiniteCredit CardAnnual Fee AED 1,500Infinite Credit CardAnnual Fee AED 1,500Skywards SignatureCredit CardAnnual Fee AED 700U By Emaar SignatureCredit CardAnnual Fee AED 250Visa Flexi Credit cardAnnual Fee Free For LifeLuLu 247 TitaniumMastercard Credit CardAnnual Fee Free For LifeU By Emaar FamilyCredit CardAnnual Fee Free for LifeLuLu 247 PlatinumMastercard Credit CardAnnual Fee AED 250ManchesterUnited Credit CardAnnual Fee Free For Lifednata World Mastercard Credit CardAnnual Fee AED 999Titanium Credit CardAnnual Fee Free For LifeBusiness Credit CardAnnual Fee AED 750dnata PlatinumCredit CardAnnual Fee AED 500Duo Credit CardsAnnual Fee AED 800WebshopperCredit Card(web use only)Annual Fee AED 50Go4it PlatinumAnnual Fee AED 199Business RewardsSignature Credit CardAnnual Fee AED 1,000*Primary Card applicant’s signature:Go4it GoldAnnual Fee Free For LifeAll charges, commissions and fees are exclusive of Value Added Tax or any other similar sales tax (VAT). The Borrower hereby agrees to pay anamount in respect of any applicable VAT.PERSONAL DETAILSCIF ID (for existing customers)SalutationMr.Mrs.Ms.Dr.Full name as in passport/ID*Name as you would like it to appear on the card (leave one space between names)Date of birthDayMonthYearNationalityYears of residence in UAEYear(s)Month(s)Total work experience in UAEYear(s)Month(s)Passport numberExpiry dateDayMonthYearUAE residence visa numberExpiry dateDayMonthYearEmirates ID numberMarital statusSingleMarriedGenderMaleFemaleEducational qualificationsElementary schoolOthers (please specify) .Number of dependantsHigh schoolGraduatePost-graduate*Mother’s maiden name (a security feature)*Fields marked in red are mandatory.1
RESIDENTIAL DETAILSIn UAE, your residence isAddressRentedOwnedCompany providedLiving with parentsNearest landmarkEmiratePO Box (if any)Duration at current addressMonth(s)Year(s)Telephone number (residence)Mobile*E-mail addressPermanent address in home country (for expatriates)Flat/House numberAddressRentedOwnedLiving with parentsCityPIN/ZIPPO Box (if any)CountryTelephone number in home country (with IDD codes)Name and contact details of a friend or relative in the UAENameTelephone officeResidencePO BoxEmirateMobileWORK DETAILSEmployment statusSalariedSelf-employedOther .Name of companyNature of businessDesignation/Job titleStaff number (if applicable)Work E-mail addressDepartmentTenure at current employerMonth(s)Year(s)AddressPO BoxTelephone numberIncome received viaExtCashChequeEmirateFax numberDirect transfer to accountIf you are salariedMonthly salary (AED)Monthly fixed allowance (AED)Other benefits (please specify type and average amount)Total monthly variable income (AED)UAE Pension (AED)Office key contact - NameOffice key contact - NumberIf you are self-employedYears of business in UAEMonth(s)Year(s)Trade license numberEstimated annual income (AED)MONTHLY CARD STATEMENTPaper Statement (AED 5 per month applies):*Fields marked in red are mandatory.Work AddressResidential AddressEmail Statement (Free of charge)2
BANKING DETAILS*Are you an Emirates NBD account holder?YesNo*If yes, account numberExisting Emirates NBD Credit Card numberPlease tell us about your other bank loanBank/BranchLoan account typeLoan account numberDuration with current bankMonth(s)Monthly payment (if any)Please tell us about your other Credit CardYear(s)Balance outstandingIssuer/bankLimitCard numberMember sinceMonth(s)Year(s)STANDING INSTRUCTION*If you have an Emirates NBD account, please provide your account number to give standing instructions to facilitate your monthly payment.Account numberTo be debited for payment on the due date for5%10%25%50%100% of your total payment due.Salik Auto Top-upAutomatically recharges your RTA Salik account from your Credit Card when the Salik account balance reduces to AED 30.Would you like to activate Salik Auto Top-up?YesNoProduct opting forPinIf yes, Salik accountPlan 1 - AED 50Plan 2 - AED 100[Call 800 SALIK (800 72545) for details]Plan 3 - AED 200APPLICABLE FOR EMIRATES NBD U BY EMAAR CREDIT CARDS*U By Emaar Membership NumberYes, my existing U By Emaar membership number isNo (You will be automatically enrolled in the program)APPLICABLE FOR EMIRATES NBD SKYWARDS CREDIT CARDS*Skywards Membership NumberAre you an existing member of the Skywards programme?Yes, my existing Skywards membership number is EKNo (you will be automatically enrolled in the programme)Express Miles Programme (available only for Skywards Infinite Cards)- I will earn 50% additional Skywards Miles on all retails spends every month (maximum of 4,000 Miles per month)- Nominal fee of AED 250/month- Listed annual fee of AED 1,500 will be waived from 2nd year till I am enrolled in the Express Miles ProgrammeYes, enroll me in the Express Miles ProgrammeNo, do not enroll me in the Express Miles ProgrammeAPPLICABLE FOR EMIRATES NBD MARRIOTT BONVOY WORLD MASTERCARD CREDIT CARD*Marriott Bonvoy Member NumberAre you an existing member of Marriott Bonvoy ?Yes, my Marriott Bonvoy member number isNo (you will be automatically enrolled in the programme)Express Points Programme- I will earn 50% additional Points on all retail spends every month (maximum of 12,000 Points per month)- Nominal fee of AED 300/month- Listed annual fee of AED 1,500 will be waived from 2nd year as long as I am enrolled in the Express Points ProgrammeYes, enroll me in the Express Points Programme*Fields marked in red are mandatory.No, do not enroll me in the Express Points Programme3
APPLICABLE FOR EMIRATES NBD GO4IT CREDIT CARDSGO4IT CONVENIENCE1. Nol Auto Top-upAutomatically recharges your linked RTA Nol Tag ID from your Go4it Credit Card when the Nol balance reduces to AED 30.Would you like to activate Nol Auto Top-up?YesNoIf yes,Plan 1 - AED 50Plan 2 - AED 100Plan 3 - AED 200APPLICABLE FOR EMIRATES NBD BUSINESS CREDIT CARDSCompany Name as you would like to like to appear on the card (leave one space between names)APPLICABLE FOR EMIRATES NBD BUSINESS REWARDS SIGNATURE CREDIT CARDAre you an existing member of the Business Rewards programme?Yes, existing Business Rewards membership numberNo (you will be automatically enrolled in the programme)INSURANCE BENEFITSComplimentary Life Insurance (applicable for Go4it Cards Only)Your Go4it Card provides coverage in case of death due to any cause as follows: Go4it Platinum: Up to AED 100,000 Go4it Gold: Up to AED 75,000You will receive the Life Insurance Certificate on payment of fee and activation of the Go4it Card.Kindly refer to the Terms & conditions on the website: ds/Nominee DetailsI hereby assign the following person as the Nominee for the Life Insurance stated above.Name (as it appears in Passport or Emirates ID)RelationshipSpouseDate of vidual Tax Residency Self CertificationPlease select one of the following:I am not a U.S. citizen or a U.S. Tax ResidentI am a U.S. citizen or a U.S. tax resident and my U.S. Taxpayer Identification Number (TIN) is:Town or City of BirthCountry of Birth1. Are you a tax resident of a country other than UAE or USA? If yes, please complete part 1 below. If no, please proceed to part 2 below.Part 1: Country of Residence for Tax Purposes and related Taxpayer Identification Number or functional equivalent (“TIN”). Please completethe following table indicating:- Where you are a tax resident. If you are a tax resident in more than three countries, please use a separate sheet.- Your TIN for each country indicated. If a TIN is unavailable please provide the appropriate reason A, B or C:Country of tax residenceTax Identification Number (TIN)1.1.2.2.3.3.If no TIN available tick reason A, B or CReason A: The country / jurisdiction where you are liable to paytax does not issue TINs to its residents.Reason B: You are otherwise unable to obtain a TIN or equivalentnumber. (Please explain why you are unable to obtain a TIN if you haveselected this reason)Reason C: No TIN is required. (Note: Only select this reason if thedomestic law of the relevant jurisdiction does not require the collectionof the TIN issued by such jurisdiction)Please explain why you are unable to obtain a TIN if you selected Reason B above.*Fields marked in red are mandatory.4
التصاريح والتوقيع :2 الجزء Part 2: Declarations and SignatureI understand that the information supplied by me is covered by the full provisions of the terms andconditions governing the Account Holder’s relationship with Emirates NBD setting out how EmiratesNBD may use and share the information supplied by me. I acknowledge that the informationcontained in this form and information regarding the Account Holder and any ReportableAccount(s) may be provided to the tax authorities of the country in which this account(s) is/aremaintained and exchanged with tax authorities of another country or countries in which theAccount Holder may be tax resident pursuant to intergovernmental agreements to exchangefinancial account information. I certify that I am the Account Holder (or am authorised to sign forthe Account Holder) of all the account(s) to which this form relates. I declare that all statementsmade in this declaration are to the best of my knowledge and belief, correct and complete.I undertake to advise EMIRATES NBD within 30 days of any change in circumstances whichaffects the tax residency status of the individual identified in this form or causes the informationcontained herein to become incorrect, and to provide EMIRATES NBD with a suitably updatedself-certification and Declaration within 90 days of such change in circumstances. أنا أدرك أن المعلومات المقدمة من ِقبلي مغطاة بأحكام اإلتفاق الكاملة للشروط واألحكام التي تحكم العالقة والتي تحدد بدورها كيفية قيام بنك اإلمارات دبي الوطني ، بين صاحب الحساب وبنك اإلمارات دبي الوطني أنا أقر بأن المعلومات الواردة في نموذج الطلب هذا . باستخدام ومشاركة المعلومات التي قمت بتقديمها والمعلومات المتعلقة بصاحب الحساب وأي حساب (حسابات) قد يتم اإلبالغ عنها وقد يتم تقديمها إلى السلطات الضريبية في البلد الذي يتم فيه االحتفاظ بهذا الحساب (الحسابات) وقد يتم تبادلها مع السلطات وفقا لالتفاقيات ً الضريبية التابعة لبلد آخر أو لبلدان آخرى قد يعتبر فيها صاحب الحساب مقيماً ضريبياً وذلك أنا أقر بأنني صاحب الحساب (أو المفوض . الحكومية الدولية لتبادل المعلومات الخاصة بالحساب المالي بالتوقيع بالنيابة عن صاحب الحساب) المسؤول عن جميع الحساب (الحسابات) التي يرتبط بها نموذج الطلب أنا . صحيحة وكاملة ، وعلى حد علمي واعتقادي ، أنا أعلن أن جميع البيانات الواردة في هذا اإلعالن هي . هذا يوماً عن أي تغيير في الظروف التي تؤثر على حالة اإلقامة 30 أتعهد بإعالم بنك اإلمارات دبي الوطني خالل ، الضريبية المتعلقة الشخص المحدد في نموذج الطلب هذا أو تجعل المعلومات الواردة هنا تصبح غير صحيحة 90 محدثان بالشكل المناسب وذلك خالل وأن أقوم بتزويد بنك اإلمارات دبي الوطني بشهادة ذاتية وتصريح ّ. تغيرات في الظروف ّ يوماً من حدوث هذه *Primary Card applicant’s signatureSUPPLEMENTARY CARD APPLICATIONCIF ID (for existing -ResidentMaleFemaleFull name as in passport/ID*Name as you would like it to appear on the card (leave one space between names)*E-mail address*Date of birthDayMonthYearNationalityPassport numberMobileEmirates ID numberRelationship with primary r’s maiden name (a security feature)*What spending limit do you wish to set up for the supplementary card?% of the primary card limit (only multiples of 5%)Salik Auto Top-upAutomatically recharges your RTA Salik account from your Credit Card when the Salik account balance reduces to AED 30.YesWould you like to activate Salik Auto Top-up?PinIf yes, Salik accountPlan 1 - AED 50No[Call 800 SALIK (800 72545) for details]Plan 2 - AED 100Plan 3 - AED 200APPLICABLE FOR EMIRATES NBD GO4IT CREDIT CARDNol Auto Top-upWould you like to activate Nol Auto Top-up facility on the Supplementary Card?If yes,Plan 1 - AED 50*Fields marked in red are mandatory.Plan 2 - AED 100YesNoPlan 3 - AED 2005
ENHANCED DUE DILIGENCEa. Meeting details:DateTimeLocationb. Is the clientA National from sanctioned country and he is self employedA private banking customer with portfolio accountA non-residence customerc. Will the customer transaction include those with sanction countriesd. Purpose and intended use of accountPersonale. Will the account be used for business activitiesf. For self-employed:YesOthersNoIf other please specifyYesType of EntityNo% of Ownershipg. Does the customer hold any other relationship with Emirates NBD or the group (ENBD, EI, KSA, UK, India, Egypt & Singapore)?YesNoIf yes,Account NameCIF NumberBusiness UnitLocationRelationshipDECLARATIONI hereby apply for the issue of Emirates NBD Bank PJSC Credit Card (Visa/MasterCard ) or any othertype of Credit Cards and declare that the information provided on this application is true and correctand I shall immediately advise you of any changes thereto.I hereby confirm that I have read and I agree to abide by the Finance charges and any other chargesoutlined in the Schedule of Fees and Charges which is available on www.emiratesnbd.com. Thecharges are subject to change from time to time at the Bank’s discretion and are updated on periodicbasis.I agree to routinely refer to the Bank’s website for such Schedule of Fees and Charges to stayupdated of any change in fees. For the sake of clarity, the Monthly Retail & Cash Finance charges onCredit Card generally vary from 1.49% to 3.59% per month, however such charges may increase ordecrease depending on market conditions and may not be predicted.Finance Charges will be applicable on the Total Amount Due as noted in the previous month’sStatement of Account as well as on all new transactions (from the respective transaction date) tillsuch time as the total outstanding amounts are paid in full including all Finance Charges and feeslevied on the Card Account. Finance Charges are always applicable on all Cash Advance transactionsand the fees and charges are applicable thereon from the date of the Cash Advance transaction untilthe date of repayment in full.Finance Charges will be billed to the Card Account if the Total Amount Due is not paid by the PaymentDue Date even if the Minimum Amount Due has been paid by the Payment Due Date. In the event thatthe Cardholder’s dues remain unpaid for two or more payments within the last six calendar monthsthe Finance Charges shall be subject to increase by a percentage as determined by the Bank at its solediscretion. Original Finance Charge rates may be reinstated solely at the Bank’s discretion when alloverdue payments have been made.In the event of any dispute between the terms stated herein and the Credit Card General Terms andConditions the terms stated in the Credit Card General Terms and Conditions shall supersede andprevail over these terms at the Bank’s discretion. I hereby authorise the Bank to make alternativerepayment arrangements towards payment of my dues through Direct Debit Instructions (“DDS”)by debiting my other bank account(s) in the UAE details of which are provided to the Bank by me inwriting. This Undertaking shall remain in force and effect against me, and may not be terminated oramended without the Bank’s prior written consent.This Undertaking shall be subject and interpreted in accordance with the Federal Credit InformationLaw No. 6 of 2010 and any other applicable laws of the United Arab Emirates and any dispute arisingbetween the Bank and myself with regards to this Undertaking shall be referred to the exclusivejurisdiction of the courts of Dubai in the UAE. I hereby acknowledge and agree that signing onthe back of the Card and/or the use of the Card will be deemed an acceptance of the Terms andConditions of Emirates NBD PJSC Credit Cards and Emirates NBD PJSC General Terms and Conditionsof Accounts and Banking Services available on the Bank’s website (which may be amended from timeto time at the Bank’s discretion) which accompanies the Card and shall be applicable to the PrimaryCard as well as Supplementary Card, if any.Upon the Bank’s approval, I agree to pay the prevailing annual fees for the Primary and SupplementaryCards whenever requested by the Bank. Where I request the Bank to issue a Supplementary Card(s)for use on my Card Accounts to any person(s) named in such request, I hereby undertake andacknowledge that such person(s) is over 12 years of age. I agree that the Bank may provide suchperson(s) with information about the Card Account.The continuation of the membership of the Supplementary Cardholder(s) will be dependent on thecontinuation of my membership. I understand, acknowledge and authorise the Bank to present anydebt instrument issued by me at any time to recover any liabilities or outstanding amounts under myPrimary and/or Supplementary Card(s) in accordance with the applicable laws or regulations.In case my application is declined or the Card(s) have been cancelled and all outstanding due amountshave been settled, the debt instrument will be automatically considered null and void. I hereby agreethat the Bank may at its sole discretion at any time and without notice, combine, or consolidate allor any of my Account(s) with the Bank in Dirham or any other currency and set-off or transfer anyfunds available to settle the Primary as well as the Supplementary Card outstanding and obligationsto the Bank.I hereby agree to indemnify the Bank against any loss, damage, liability or costs incurred by theBank resulting from using the Primary or the Supplementary Card, breaching the Card Terms andConditions or by reason of any legal disability or incapacity of the Supplementary Cardholder. I herebyagree that the Bank reserves the absolute right to accept or reject this application without assigning*Fields marked in red are mandatory.) (تعهد إقرار ّ ماستركارد ) أو / (فيزا . ع . م . أنا هنا أتقدم بطلب الحصول على بطاقة ائتمان من بنك اإلمارات دبي الوطني ش أي نوع آخر من بطاقات االئتمان وأصرح أن المعلومات المقدمة في نموذج الطلب هذا صحيحة وسليمة وسأقوم . بإعالمك على الفور بأي تغييرات تطرأ عليها أنا أقر بموجب هذا التصريح أنني قد قرأت وأوافق على االلتزام برسوم التمويل وأية رسوم أخرى موضحة في تخضع الرسوم للتغيير من وقت .www.emiratesnbd.com/ar جدول الرسوم واألجور والمتوفرة على الموقع . آلخر وذلك وفقاً لتقدير البنك وسيتم تحديثها على أساس دوري المتوفر على موقع البنك على ّ على جدول الرسوم واألجور هذا ، وبشكل روتيني ، أنا أوافق على اإلطالع ستتراوح رسوم التمويل ، ومن أجل التوضيح . اإلنترنت لكي أبقى على إطالع عن أي تحديث يطرأ على الرسوم ، ً شهريا 3.59٪ حتى 1.49٪ ورسوم السيولة النقدية الشهرية المطبقة على بطاقة االئتمان بشكل عام من نسبة . وبالطبع قد تزيد هذه الرسوم أو تنقص وفقاً لظروف السوق وقد ال يمكن حتى التنبؤ بها سيتم تطبيق رسوم التمويل على إجمالي المبلغ المستحق كما تم ذكره في كشف حساب الشهر السابق وكذلك (إبتداء من تاريختنفيذ المعاملة المعنية) وحتى الوقت الذي يتم فيه دفع إجمالي على جميع المعامالت الجديدة ً سيتم . المبالغ المستحقة بالكامل بما في ذلك جميع رسوم التمويل والرسوم المفروضة على حساب البطاقة إبتداء من من عليها واألجور الرسوم وتطبيق ، النقدية السلف معامالت جميع على دائما تطبيق رسوم التمويل ًً. تاريخ تنفيذ معاملة السلفة النقدية وحتى تاريخ السداد بالكامل سيتم تحصيل رسوم التمويل من حساب البطاقة إذا لم يتم دفع المبلغ اإلجمالي المستحق في تاريخ استحقاق وفي حالة لم يتم دفع . السداد حتى ولو تم دفع الحد األدنى للمبلغ المستحق في تاريخ استحقاق السداد ستخضع رسوم ، المستحقات من قبل حامل البطاقة لدفعتين أو أكثر خالل األشهر الستة التقويمية األخيرة قد يتم ، عند سداد جميع المدفوعات المتأخرة . وفقا لتقديره الخاص ً التمويل لزيادة بنسبة مئوية يحددها البنك . وفقا لتقدير البنك ً إعادة أسعار رسوم التمويل إلى قيمها األصلية فقط فستحل الشروط ، في حال تواجد أي خالف بين الشروط المذكورة هنا والشروط واألحكام العامة لبطاقة االئتمان . وفقا لتقدير البنك ً المنصوص عليها في الشروط واألحكام العامة لبطاقة االئتمان محل هذه الشروط وتسودها أصرح للبنك بأن يتخذ ترتيبات سداد بديلة تجاه سداد المبالغ المستحقة علي وذلك من أنا ، بموجب هذا اإلقرار ّ ») ليتم من خاللها الخصم من حسابي (حساباتي) البنكية األخرى في DDS«( خالل ضبط تعليمات الخصم المباشر ، ومنفذ ضدي ّ يظل هذا التعهد ساري المفعول . اإلمارات العربية المتحدة والتي قمت أنا بتوفير تفاصيلها للبنك . ولن يمكن إنهائه أو تعديله دون موافقة خطية مسبقة من البنك ووفق أي 2010 لعام 6 وفقا لقانون المعلومات االئتمانية الفيدرالية رقم ً يخضع هذا اإلقرار ويتم تفسيره وفي حال نشوء أي نزاع بيني وبين البنك فيما يتعلق ، قوانين أخرى سارية في دولة اإلمارات العربية المتحدة أنا أقر . فسيحال هذا النزاع إلى اختصاص محاكم دبي الحصري بدولة اإلمارات العربية المتحدة ، بهذا اإلقرار ًُ قبول مني لشروط وأحكام أو استخدام البطاقة سيعتبر / وأوافق أن قيامي بالتوقيع على ظهر البطاقة و ولشروط وأحكام الحسابات والخدمات المصرفية العامة . ع . م . بطاقات بنك اإلمارات دبي الوطني االئتمانية ش لبنك اإلمارات دبي الوطني والمتوفرة على موقع البنك الرسمي (قد يتم تعديل هذه الشروط واألحكام من وقت آلخر حسب تقدير البنك) والتي سترافق البطاقة وستكون قابلة للتطبيق على البطاقة األساسية وكذلك . إن وجدت ، البطاقة اإلضافية أنا أوافق على دفع الرسوم السنوية السائدة للبطاقات األساسية واإلضافية كلما ، بناء على موافقة البنك ً أنا أتعهد وأقر أنني عندما سأطلب من البنك إصدار بطاقة (بطاقات) إضافية ألي شخص . طلب البنك ذلك بأن هذا الشخص ، (أشخاص) ورد اسمه (أسماءهم) في هذا الطلب وذلك الستخدامها على حسابات بطاقتي أنا أوافق على أنه سيجوز للبنك تزويد هذا الشخص (األشخاص) بمعلومات . عاما ً 12 (األشخاص) قد تجاوز الـ . عن حساب البطاقة . يعتمد استمرار عضوية حامل البطاقة اإلضافية (حملة البطاقة اإلضافية) على استمرار العضوية الخاصة بي وأخول البنك بتقديم أي شهادة دين صادرة عني في أي وقت السترداد أي إلتزامات أو مبالغ أقر ، أنا أتفهم ّ وفقا للقوانين أو ً أو اإلضافية الخاصة بي وذلك / مستحقة على بموجب البطاقة (البطاقات) األساسية و . اللوائح المعمول بها سيتم اعتبار ، وتم تسوية جميع المبالغ المستحقة ّ ) تم إلغاء البطاقة (البطاقات ّ وفي حال تم رفض طلبي أو ووفقا لتقديره الخاص وفي ً، أنا أوافق على أنه يجوز للبنك ، بموجب هذا اإلقرار . شهادة الدين الغية وباطلة سواء كانت بالدرهم ، أن يقوم بجمع أو توحيد كل أو أي حساب من حساباتي مع البنك ، أي وقت وبدون إشعار ً يحول أي أموال متاحة من أجل تسوية مستحقات البطاقة األساسية ، اإلماراتي أو بأي عملة أخرى ّ ويسوي أو ّ. باإلضافة إلى البطاقة اإلضافية واإللتزامات الخاصة بي نحو البنك أنا أوافق على تعويض البنك عن أي خسارة أو ضرر أو مسؤولية أو تكاليف يتكبدها البنك ، بموجب هذا اإلقرار نتيجة استخدام البطاقة األساسية أو اإلضافية أو نتيجة أي إنتهاك لشروط وأحكام البطاقة أو بسبب أي إعاقة أنا أوافق بموجب هذا على أن البنك يحتفظ . قانونية أو ناتجة عن عدم قدرة حامل البطاقة اإلضافية على الدفع بالحق المطلق في قبول أو رفض هذا الطلب دون تحديد أي سبب من األسباب وأن هذا الطلب ووثائقه الداعمة . جزءا من سجالت البنك وممتلكاته ولن يتم إعادتها لي ً ستصبح ) أقدم إلى بنك اإلمارات دبي الوطني (البنك) شيك مصرفي من دون تاريخ (الشيك ّ أنا ، بموجب هذا اإلقرار 6
any reason whatsoever and that this application and its supporting documents shall become a part ofthe Bank’s records and property and shall not be returned to me.I hereby deliver to Emirates NBD Bank PJSC (the Bank) an undated debt instrument (cheque) dulysigned by me as security for my Credit Card/facility/loans obtained from the Bank and herebyauthorise the Bank to insert the date and amount on the cheque and present it for payment in anyevent of default as defined in Credit Card/facility/ loan terms and conditions / agreement occurred.This debt instrument (cheque) may be used in lieu of repayment of any and all amounts due to theBank on the captioned account.Undertaking and Approval to Obtain and Disclose Information:1. The above account holder (hereinafter referred to as the “Customer”/ “Borrower”) herebyentitles and authorizes Emirates NBD Bank PJSC (“the bank”) to obtain, from time to time,my/our credit report from the Al Etihad Credit Bureau any other source of information forthe purposes of assessing my/our creditworthiness and determining my/our eligibility for anyproducts, banking services or credit facilities offered by the Bank, including but not limited torenewals, amendments, restructurings, extensions or enhancements thereto. The Customer/Borrower also authorizes the Bank to provide such information as may be required underapplicable law and regulations to obtain any such credit report. This undertaking shall remain inforce and effect may not be terminated or amended without the Bank’s prior written consent.This undertaking shall be governed by the laws of the United Arab Emirates (the “UAE”),and any dispute arising between the Bank and the Customer / Borrower with regards to thisundertaking shall be subject to the exclusive jurisdiction of the courts of the UAE.2. Without prejudice to the foregoing, I hereby authorise the Bank, without the need to get anywritten or oral permits, to obtain or disclose any of the information indicated in this Undertakingfrom any governmental or semi-governmental authorities, body, organisation, company, creditbureau or telecommunications company and any service provider such as electricity, water andtelecommunication companies, or any other person or entity as it is needed, whether inside theUAE or abroad, which maintain or are supposed to maintain any of the information containedin this Undertaking relating to me. The Bank, pursuant to this Undertaking, may communicatewith such bodies to obtain or disclose any of information mentioned in this Undertaking.3. The Bank shall be entitled to use any or all of the information contained in this Undertakingfor the purpose of granting/or commencing to grant me any loans, facilities or any otherbanking services offered by the Bank or to use this information for the purpose of assessingmy credit position and collect any amounts or loans payable to the Bank. This Undertakingshall remain in force and effect against me, and may not be terminated or amended withoutthe Bank’s prior written consent.4. This Undertaking shall be subject and interpreted in accordance with the Federal CreditInformation Law No. 6 of 2010 and any other applicable laws of the United Arab Emirates, andany dispute arising between the Bank and I with regards to this Undertaking shall be referred tothe exclusive jurisdiction of the courts of the UAE.Sanctions Declaration:I/We understand that (the account(s) / relationship(s) that I/we maintain with EmiratesNBD Bankwill not be used in any manner whatsoever, whether directly or indirectly, in connection withany projects, contracts or transactions relating to a Sanctioned Country, Sanctioned Person orSanctioned Entity*. I/We agree not to utilise the services of a third party client to effect transfers(Local or Foreign Currency) on my / our behalf.I/We further agree not to utilize my/our Emirates NBD account(s) to facilitate transactions for athird party.*A Sanctioned Person or Sanctioned Entity includes any person or entity designated for sanctionsreasons by the United Nations Security Council, The UAE Government, the European Union, theUnited States (including but not limited to the Specially Designated Nationals (‘SDN’) List.For Emirates NBD Skywards/Business/Marriott Bonvoy World Mastercard Credit CardApplicants:I hereby agree to indemnify the Bank against any loss, damage, liability or costs incurred by theBank resulting from using the Primary or the Supplementary Card, breaching the Card Terms andConditions or by reason of any legal disability or incapacity of the Supplementary Cardholder.I hereby agree that the Bank reserves the absolute right to accept or reject this application withoutassigning any reason whatsoever and that this application and its supporting documents shallbecome a part of the Bank’s records and property and shall not be returned to me.I/We agree to abide by the Skywards/Business Rewards/Marriott Bonvoy World Mastercard Credit Card programme rules and have read and agree to the Skywards/Business Rewards/MarriottBonvoy World Mastercard Credit Card Terms and Conditions. The programme rules and Termsand Conditions of Skywards/Business Rewards/Marriott Bonvoy World Mastercard CreditCard can be viewed on each of their respective website. I/We agree to receive communicationfrom Emirates for the Skywards/Business Rewards programme and communication from MarriottBonvoy World Mastercard Credit Card on the Marriott Bonvoy World Mastercard Credit Cardprogramme. The Customer shall not self-swipe the card or use the card in any manner other thanas provided according to the Terms and Conditions. The Customer hereby undertakes not to use thecard to illicit money/cash from any merchant nor use it for any illegal purpose. On the Bank beingaware that the card is being used for other purposes other than for purpose provided in the Termsand Conditions, the Bank shall reduce/withdraw the credit limit and all amount outstanding shallimmediately be due. The Bank further reserves the right to inform such illegal/self-swiping incidentsto POS provider & Scheme (Visa/Mastercard).For Emirates NBD Go4it Credit Card Applicants:I understand that the Bank is offering me free Life Insurance cover, and acknowledge that theLife Insurance cover is valid as per the applicable Terms and Conditions, including that the coverwill be null and void in case of any default on the Credit Card issued to me. The RTA Terms andConditions related to usage of Nol can be viewed on www.rta.ae. I agree to abide by the RTATerms and Conditions.For Emirates NBD Manchester United Credit Card Applicants:By signing this I expressly consent that the Manchester United (“MU”) Group (being all companieswith the MU name) and MU Commercial Partners (as both may change over time) may share anduse my personal information (a) to provide products and services I request, (b) for consumerprofiling & market resear
Infinite Credit Card Annual Fee AED 1,500 Titanium Credit Card Annual Fee Free For Life Visa Flexi Credit card Annual Fee Free For Life *Primary Card applicant's signature: SkywardsInfinite Credit Card Skywards Signature Credit Card Annual Fee AED 700 dnata World Mastercard Credit Card Annual Fee AED 999 dnata Platinum Credit Card Annual .
