Barcode Sticker

APPLICATION FORM
CSD LOYALTY CARD

First Name

1
*

CNIC

3
*

Last Name
2

Date of Birth (DD-MM-YYYY)

Tel No (mob)

4
City
6

Address
7
Email
8
Monthly shopping budget
9

Bill No

10
1) * Marked fields are mandatory
2) Attach photocopy of CNIC
3) Attach CSD Shop Bill
4) Customers shoping worth Rs.2,000/= or above are entitled

Applicant Signature