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✂✂✂✂SignatureofApplicant申請人簽署Date日期PleasecompleteinEnglishBLOCKlettersandputawhereappropriate.Pleasereturnthisformbyfaxto25072252orbymailusingthereplyenvelopeoverleaf(Pleasedonotmailthisformifyouhavealreadyreturneditbyfax).請以英文正楷填妥此表格並於適當位置填上「」號。請傳真此表格至25072252或以背頁之回郵信封寄回（如已傳真此表格，請勿重複郵寄）。Pleaseglueandseal請以膠水封口Pleaseglueandseal請以膠水封口Pleaseglueandseal請以膠水封口·全面e-banking網上理財服務·長達50天免息還款期·24小時客戶服務專線·全球私人助理服務·全年名店折扣優惠·自動加入「星級獎賞計劃」·Comprehensivee-bankingServices·Upto50daysinterest-freerepaymentperiod·24-hourDedicatedCustomerServiceHotline·PersonalGlobalConciergeatYourService·ExclusiveYear-roundSpendingPrivileges·AutomaticEnrollmentforSTARRewardsProgramHK$100FreeSpendingCreditHK$100信用卡免找數簽賬額(JBE)PerpetualAnnualfeeWaiver永久豁免年費NoDocumentRequired毋須遞交任何文件DeclarationandSignature聲明及簽署Forthewelcomegifttermsandconditions,pleaserefertothisapplicationformoverleaf.有關迎新禮品之條款及細則，詳情請參閱此申請表之背頁。PriorityApproved優先批核CC/M871/1001ApplicantwithmultiplecreditcardsissuedbyDahSingBankwillhaveoneapprovedcreditlimitwhichwillbesharedamongallcreditcards.若閣下申請多張大新信用卡，所批核之信用額將為各卡所共用。ATMscreeninstructioninEnglishChinese櫃員機熒幕指示用英文中文ATMFacilities自動櫃員機YourPersonalData個人資料*ForBankreferenceonly.只供銀行參考之用。SurnameGivenName(Ifany,pleaseprovidesupportingdocument.如有，請附有關文件。)(Maximum30charactersincludingpunctuationmarks.最多30個字連標點符號。)REF:20--(103/00)HKID/PassportNo.Nationality國藉：FormerName/OtherName舊名/別名EmailAddress電郵地址：Ifyourpermanentaddressisdifferentfromtheresidentialaddress,pleaseprovideproofofyourpermanentaddress.本人之永久地址與居住地址不同（請另附永久地址證明）。OSI:ＤＴ:ＹForRCDUseOnlyDECSIG1SIG2FULLSOCSVY/NCCBranchInfoBRIagreetoacceptthepriorityapprovedDahSingVIPBankingPlatinumCard本人願意接納優先批核之大新VIP銀行服務白金卡I/Weconfirmthattheaboveinformationistrue,completeandcorrectandauthorisetheBanktoverifythisfromanysourcetheBankmaychoose.I/weunderstandthatifI/weknowinglymakeanyfalsestatementinmy/ourapplicationwithanintentiontodeceit,I/wemaybeliableforcriminalprosecution.I/WeagreetoauthorizetheBanktopassdetailsofmy/ourpersonaldatatoorobtainthesamefromanycreditreferenceagenciesorotherfinancialinstitutionsatthediscretionoftheBankforcreditassessment.I/Weunderstandthatitisnecessaryforme/ustosupplythedatarequestedabovetotheBankinorderfortheBanktoprocessmy/ourapplication.My/OurfailureinprovidinganyoftheabovedatatotheBankmayresultinthisapplicationbeingrejected.I/WeagreetoinformtheBankinwritingifI/wehaveanyrelationshipwithanyoftheBank'sdirectorsoremployees.I/WemayalwayscontacttheCreditCardCustomerServiceDepartmentoftheBanktogainaccesstoandrequestcorrectionoramendmenttotheabovedatawhiletheBankreservestherightstochargeme/ushandlingfee.I/WeagreetobeboundbythetermsandconditionsofDahSingCreditCardCardholderAgreement,acopyofwhichwillbesenttome/uswiththeCard(s)uponapprovalofthisapplication.I/WeagreethattheBankreservestherightstorejectmy/ourapplicationwithoutgivingreason.I/WeunderstandthattheinterestrateforRetailPurchaseandCashAdvanceformy/ourDahSingVIPBankingPlatinumCardis24%p.a.and24%p.a.respectively.AccordingtotheguidelineoftheCodeofBankingPractice,AnnualisedPercentageRateiscalculatedbasedontheNetPresentValue(NPV)method;theAnnualisedPercentageRateforRetailPurchaseandCashAdvanceis25.84%p.a.and28.35%p.a.respectively.I/weunderstandthatI/wecanenjoyupto50-dayinterest-freerepaymentperiod.I/WeunderstandandagreethattheBankholdstherighttoapprovetheinterestrateandcreditlimitaccordingtomy/ourotherinformation.I/WeunderstandthatI/wecanenjoyperpetualannualfeewaiver.I/WeunderstandandagreethattheBankreservestherightstorevisetheoffersandchargesoftheCardaccordingtothemarketsituation.Handlingfeefore-bankingbillpaymentviaDahSingVIPBankingPlatinumCardis1%(applicabletopre-registeredmerchantsonly).I/Wedeclarethatnocreditcardorloanundermy/ourname(s)issuedbyanyfinancialinstitutionshasbeencancelledduetodefaultinpayment,andthereisnocurrentoverduepaymentexceeding10daysinrespectofmyloanindebtedness(includingcreditcardandanyloans)withotherfinancialinstitutions.I/Wefurtherdeclarethatnobankruptcyorderoranykindofrestructureddebtrepaymentplanhaseverbeenmadeagainstme/usandI/weam/arenotinprocessofpetitioningforbankruptcyoranykindofrestructureddebtrepaymentplan,norhaveanyintentionsotodo.Incasethisapplicationformissentbyfax,theBankshallbeentitledtotreatthefaxedcopyreceivedastrueandcorrectinallrespectsandtheencloseshallbebindingonapplicant(s).I/WeconfirmthatI/wehavereadandunderstoodthetermsandconditionsfortheuseoftheCardandagreetobeboundbythem.I/Weacknowledgeandagreethat,irrespectiveofwhethermy/ourapplicationissubsequentlywithdrawnorrejected,allpersonaldataandinformationwithrespecttome/uswhichareprovidedbyme/usattherequestoftheBankmaybeusedanddisclosedbytheBankforsuchpurposeandtosuchpersonsinaccordancewiththeBank’s“NoticetoCustomersrelatingtoCustomers'Data”madeavailablebytheBanktocustomersfromtimetotime.IncaseofanydiscrepancybetweentheEnglishandChineseversionsofthisdocument,theEnglishversionshallprevail.本人/吾(等)證實上述資料全部完整及確實無訛，並同意授權銀行向任何方面查證。本人/吾(等)明白在此申請中蓄意作出虛假陳述意圖欺騙，本人/吾(等)可能會受到刑事檢控。本人/吾(等)同意授權銀行將本人/吾(等)之資料交予任何信貸服務機構或財務機構或從其獲取有關資料以作信貸審查用途。本人/吾(