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vijaya Bank - Vijaya Bank Visa Global Credit Card ... Flipbook PDF
Title: vijaya Bank - Vijaya Bank Visa Global Credit Card Application - For Corporates Created Date: 15:23 6/5/2003
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VIJAYA BANK Head Office, Credit Card Division 41/2, M G Road, Bangalore – 560 001 Phone No : 091-80-5584066 (20 lines) Telex : 0845 8842 (VBHO IN) Fax : 091-80-5582915, E-mail : ccd@vijayabank_co_in / vijayacard@vsnl_com
Vijaya Bank Visa Global Credit Card Application Corporates
– For
* A minimum of 3 officials are required to be sponsored * Tick
where appropriate
Company Name : __________________________________________________________________________ Public
Private
Address : State: ____________ Pincode:___________ Tel No:_____________ Telex : ____________ Fax No: ______________ E-mail ID: ____________________________________________
Name & Address of Bankers 1.
A/c No _________________
2.
A/c No _________________
3.
A/c No _________________
Financial Information (As per latest Balance sheet and Profit & Loss a/c) Copy to be enclosed Authorised Capital
_____________________ Issued Capital
_____________________
Subscribed Capital
_____________________ Paid up Capital
_____________________
Reserves & Surplus
_____________________ Fixed Assets
_____________________
Current Assets
_____________________ Current Liabilities
_____________________
Net Profit
_____________________ Turnover
_____________________
Carry forward loss(if any) _____________________
I/We undertake to use the Global Credit Card facility strictly in accordance with FEMA and exchange control regulations of Reserve Bank of India notified from time to time and within my/our entitlement thereunder. In the event of exception to the above, I/We accept the bank and/or authorized dealer of Foreign Exchange to report the same to RBI and I/We may be barred from holding bank’s global Credit Card either at the instance of Vijaya Bank or Reserve Bank of India. I/We also undertake not to utilize my/our card for purposes restricted under RBI guidelines in force and specifically undertake not to utilize the card for lotteries, gambling transactions etc. I/We hereby agree to accept liability for all charges incurred or in any way arising from the use of the Vijaya Bank VISA Global Credit Card issued hereon including any re-issue of the card. I/We hereby agree to surrender the card should I/We discontinue my/our services with the Company for any reason. Sl.No Name of the Official to be Designation Date of embossed on the card Birth
Residential Address with Telephone No
Gross Annual Income
Specimen signature
1. 2. 3. 4. 5. The Company hereby applies for the issue of Vijaya Bank VISA Global Credit Card/s to the above mentioned official/s and authorises them to incur charges on Company account through the use of the Vijaya Bank VISA Global Credit Card/s so issued and agrees to accept liability for all charges incurred by and arising from the use of Vijaya Bank VISA Global Credit Card/s issued hereon including any re-issued Credit Card/s. The Company authorises Vijaya Bank and/or their representative/s to contact the Company’s bankers or any other source to obtain any other information Vijaya Bank may require. We have gone through the Terms & Conditions of this application and agree to abide by the same. We authorise you to debit our CA / CC / OD A/c No ___________________________ with branch ________________________________________ as and when the bills are raised towards utilisation of cards issued to the above officials of the Company. Signed for & on behalf of the above Company by the Managing Director/Authorised signatory.
_______________________________________ Signature
_______________________________________ Name & Designation with Company Seal