Current Date time 04/28/2024 07:29:49

No: Parent Application No: (If Supplementary) Main Supplementary

Card Type: Mode of Payment*
Issuance Type Card Limit:
Sex: Status Min Platinum Limit: $10,000
Personal Information Max Platinum Limit: $30,000
Last Name: Min Titanium Limit: $500
First Name*: Max Titanium Limit: $9,999
Father's Name*: Min Classic Limit: $300
Grand F/ Name Max Classic Limit: $3,000
Date of Birth: Passport No:
Place of Birth: Country:
Nationality*: National ID No:

Embossed Name (As it will appear on the Card and should not exceed from 24 letters)
Name to be printed on card ( Only 24 letters including space)
Business Information
Organization Name:
Professional Status:
Established Since:
Type of Activity: Position/ Title:
Profession: Date of Employment:
Telephone: Business E-mail:
Building:
Floor Street Area City District Country

Home Address

Contact#: Email
Do you: Own Rent Live in Joint Family Amount of monthly rental/ mortgage payment
Send bill to: Business Address Home Address Registered Email ID

Main Cardholder's Signature: Supplementary Cardholder's Signature:

Date (dd/mm/yy) 4/28/2024 Date (dd/mm/yy) 4/28/2024

Applicant's Name to be printed on card is must

Current Date time 04/28/2024 07:29:49

Photo

For Processing of your application, please ensure you have included:

1. A photocopy of the Passport/National ID in the name the applicant (Main or Supplementary)
2. Requested limit plus 20% at the top of the limit must be blocked in the applicant account

For Bank Use only:

Branch Code
Branch Name:
Date: 4/28/2024

Financial Information Annual Revenue $ (including salary)

<10,000-
Existing Banking Relationship: <10,000 USD
30,000USD
Existing Loans:
>30,000USD
USD Bank Account No:
Source of funds: The contracting party declares that the funds to be deposited in his/her account at AIB originate from

Salary Investme Other

Own Business Pension Saving Heritage
nts

Application Approved: We certify that information provided in page 1,2,3 of this application form is accurate. All the
pages must be initiated and stamped.

CS Officer Signature: Branch S/M Signature

Current Date time 04/28/2024 07:29:49

‫دفتر ثبت اعتبارات عامه د افغانستان بانک‬

Public Credit Registry office of Da Afghanistan Bank

AIB is always striving to serve its customers according to national and international standards in order to protect their interests.
In accordance with DAB Credit Reporting Regulation necessary information of Credit Card Holders such as customer detail, collateral detail,
contact detail, type of cards, (Personal or Corporate) will be registered in Public Credit Registry Office of Central Bank of Afghanistan (DAB)
which is newly established inside the Da Afghanistan Bank. This registration will help Public Credit Registry Office and other Banks and Financial
Institutions to know about payment behavior, amounts and existing credit facility.
In this respect, through this letter, we are going to inform you that effective from ....../......../.......... all information related to your requested
credit card amount of (USD ______________________) will be shared with Da Afghanistan Bank and shall be uploaded in Public Credit Registry
Office of Central Bank. Hereby I / We __________________________ accept the above notice to the best of my / our knowledge without any
duress and in good state of mind and hereby authorize Afghanistan International Bank to Provide all necessary information mentioned above to
Da Afghanistan Bank – Public Credit Registry Office as per Article 22 of DAB Credit Reporting Regulation and to make any inquiries about me / us
hereafter from PCR Office.
Signature:

‫دفتر ثبت اعتبارات عامه د افغانستان بانک‬

‫بانک بین المللی افغانستان همیشه در تالش ارائه خدمات به مشتریان خویش با درنظرداشت معیارهای ملی و بین المللی بوده و همواره در صدد حفظ منافع آنها میباشد‬.
‫ و نوع کارت ( شخصی یا‬،‫ تضیمن‬،‫ معلومات الزم در ارتباط با کارت اعتبار مشتری از جمله هویت دارنده کارت و شماره تماس‬،‫مطابق مقرره گزارش دهی اعتبارات د افغانستان بانک‬
‫ ثبت و راجستر گردد‬،‫تجارتی) باید در دفتر ثبت اعتبارات عامه دافغانستان بانک که جدیدٌا تاسیس گردید است‬.

‫ مقدار و موجودیت آن اطالع حاصل نماید‬، ‫ثبت این معلومات به دفتر ثبت اعتبارات عامه و دیگر بانک ها و نهادهای مالی کمک مینماید تا از نحوۀ باز پرداخت کارت اعتبار‬.

‫ از‬........../......../...... ‫بدین وسیله به آگاهی شما رسانیده می شود که معلومات الزم راجع به کارت اعتبار مبلغ (___________________ دالرامریکایی) شما از تاریخ‬
‫طریق دفتر ثبت اعتبارات عامه در اختیار د افغانستان بانک گذاشته می شود‬.

‫ مایان هریک‬/ ‫__________________________________ بدین وسیله اینجانب‬

‫ باشیم و به بانک بین المللی افغانستان‬/ ‫درحال که از اهلیت کامل حقوقی برخوردار بوده بدون جبر واکراه اقرار مینمایم که از اطالعیه فوق آگاهی حاصل نموده و بدان موافق می باشم‬
‫ مقرره گزارش دهی اعتبارات دافغانستان بانک در اختیار دفتر ثبت اعتبارات عامه قرار داده و راجع به‬22 ‫ دهیم تا معلومات ذکر شده فوق را بر حسب هدایت ماده‬/ ‫صالحیت می دهم‬
‫ ما از دفتر متذکره تحقیق و پرس و جو نماید‬/ ‫من‬.

‫امضاء‬: