BALANCE TRANSFER APPLICATION FORM.
Plese (/)
(Yost woud the to transtr my eet card balance
[FYou!1 wou no to alow my Supplomentarycaromembor to tranctr hier ero card balance.
Note: Please enclose latest credit card statement ftom the louing bank.
‘IMB Bank Card Ne,
Name
temo, s LIL 1J-LL Li -Lit -Li ti
Tana; ase Your an) 0% Mone) = 1% M2 Wonha)
Please transfer my outstanding balance according to the Plan | choose above and the information stated below
no. wank ‘Gara Na, [Due Date [Amount 0 Be Tanstroa Ft]
Se
Name; Bak ar
temo, sf LE LL -LiL
Taine, ease Your an 1 O86 8 Monte) 1% 12 Month)
Please transfer my outstanding balance according tothe Plan I choose above and the information stated below
No) Bank ‘ard No, ve Data [Amount Yo Ba Tranefored
Total
Pee
“This trae Is based solely on my/our Instucton and has no ication on yout relallonstp with my card Issue. You may
approve oF react my/our request at your sol dlsrelon. UWe agree to ablde by tne lars & conlons of CMB Bank Bernas
Balonce Taster Programme and the CIMB Sank Credit Car Agrsement
FincpalApalcants Sonate
Date