E-Statement and SMS Alert Application Form

(A separate form to be completed by each cardholder and submitted to the nearest Prime Bank branch)

1. Cardholder Information:
Name of Cardholder

Credit Card no. (Basic):

E-Mail Address: Mobile Number:

Credit Card no. (Supplementary):

E-Mail Address: Mobile Number:

…………………………………………….
Signature (Applicant) & Date

2. For Bank use only

Branch Use Card Operation

Signature: Signature:

Name: Name:
………………………………………………………………………………………………………………………………………………………………....

Acknowledged Copy:

Customer Name: ______________________________

Mobile No. : Seal & Signature of Receiving Officer

For any query: Call to our 24/7 Contact Center 16218 (Local) or +8809604016218 (Overseas)
E-mail: cardinfo@primebank.com.bd Website: www.primebank.com.bd