Cardholder Application Form
 Card Information

 

M/S. Yemen Gulf Bank:

 

Please issue a major:   

 :: The fields with (*) are requirement fields ::

 
     Visa Card  
     
   

Master Card

                   

 
 
In the name of: *    

Supplementary Cards:

 

Name (1):

   

Name (2):

   

Credit Limit: *

      Applicant  Information:

Name:*

   

Account No.:*

   

Country:*

   

City:*

   

Address:*

   

P.O.Box:

   

Home Tel:

   

Office Tel:

   

Fax:

   

Mobile:

   

E-mail:

   

Authorization

We hereby authorize Yemen Gulf Bank to debit our account with them for the settlement of our Visa/Master Card which is issued by Arab Financial Services - Bahrain as per M/S Yemen Gulf Bank Authorization.

We also authorize Yemen Gulf Bank to debit our Account for all the amounts related to us to recover all amounts needed for the settlement of the Credit Cards.

In case of short fall in my account (s), the bank is authorized to create over draft in my account and charge me the interest at the on-going rate of the bank.

 

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