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Online Declaration Form PDF
Online Declaration Form PDF
NAME : ________________________________________________
CARD NUMBER :
MOBILE NUMBER : ________________________________________________
Please tick the online transaction type and mention the amount of USD you
need to use for the transaction:
Hotel booking
USD Amount Required: _________________
Therefore, I request EBL to enable the online transaction facility of my card with effect
from ________________ to ________________.
I am aware of the transaction and data risks involved with internet usage of Card and
will be completely liable if any dispute occurs on my card pursuant to this usage. I am
also aware that unless reported lost or stolen to EBL, all transactions made with the Card
will be solely Cardholders responsibility.
Note: Please email your filled out form with relevant documents to cardsteam@ebl-bd.com with a copy to
contact_center@ebl-bd.com. You can also submit the form to any EBL branch.