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Standing-Instruction-Form-Fillable SCB

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Angga Reksa
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42 views2 pages

Standing-Instruction-Form-Fillable SCB

Uploaded by

Angga Reksa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Credit Card Standing Instruction Form

Date

Account Number Relationship ID

Primary Card Number X X X X X X

Card Holder Name Contact Tel. No.


ID Verification Checked:
Mother’s Maiden Name ID Number Date of Birth Card Expiry

Credit Limit Other 12,000,000.00

New Amend Delete

Bank Name Branch

Account No. Account Name

Address

Minimum Amount Due* Total Amount Due*

Date of First Payment D D M M Y Y Y Y

Billing Cycle Change Yes No

Current Billing Cycle Date:

If yes selected above, please choose the desired billing cycle

5th 10th 15th 30th

I/We understand that the payment will be effected on the effective date specified above (or the preceding business day in the event
of a holiday). I/We hereby agreed, Standard Chartered Bank to activate the card and I/We accept to make payment of 1000 pounds.
I/We hereby also undertake to make this payment to enable you to carry out this instruction.

*Please refer to the T&C. Customer Signature & Date

For Bank use only


On-line Card 400 Checked

Account status checked (tick) Active Status Card (Block code: )

Branch
Account reviewed and verified by Date
Approved by Date

Card Operations:
Name Sig

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