4. Fisa Card Update Form [Fillable]

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MIB

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  • UPDATE FORM

    Full Name (Mr.|Ms.|Dr.|Others)

    ID Card / Passport No. (Please attach a copy)

    Security Phrase (4 to 18 characters)

    Email Address

    Default AccountDefault Account

    Additional Accounts to be linked

    Mobile Home/Office

    Current Address

    PERSONAL DETAILS (FILL IN BLOCK LETTERS)

    YOUR DESIGNATED ACCOUNTS TO BE LINKED/UNLINKED

    I/We, the undersigned, hereby make this unilateral declaration to Maldives Islamic Bank Pvt. Ltd. (the 'Bank'), that;

    a) I/We have read and understood the Terms and Conditions stated in this application and agree to be bound by them. I/We accept that the usage of the FisaCard will also be construed by the Bank as my/our acceptance of the Terms and Conditions applicable to the FisaCard .

    b) By signing below, I/We hereby request the Bank to issue FisaCard in my/our favour, and to link the accounts as indicated in this form.

    c) I/We confirm that I/we have the required mandate to operate the account(s) linked to my/our FisaCard (s) issued by the Bank.

    d) I/We hereby confirm and warrant that the information provided in this application is true, accurate and correct.

    e) Not withstanding to any of the terms and conditions, it is in the sole discretion of the bank to accept the requested changes.

    APPLICANTS SIGNATURE

    Additional Signatures (for joint accounts)

    BANK USE ONLY

    Application received and verified by

    S.ID Initials

    Signatures verified by

    Application updated to system

    Application Approved by

    Customer Number

    Please select the type of update required

    NOTIFICATIONS

    Ameer Ahmed Magu, 20030, Male, Republic of Maldives, Tel: 3011100, Email: [email protected], Website: www.mib.com.mv

    Existing F'isa Card holders need not fill the below section unless there are changes in the

    information provided earlier.

    Date

    Date

    Personal Details

    Account Details

    MVR 2,500

    MVR 5,000

    MVR 10,000

    MVR 15,000

    MVR 20,000

    House / Building Name

    (A maximum of MVR 5,000 applies per single ATM withdrawal )

    District

    Flat No. Floor

    Street Name

    City / Island Atoll

    Postal Code

    9 9 0 1

    9 9 0 1

    9 9 0 1

    9 9 0 1

    Please select your preferred method in order to receive service notification(at least one box needs to be checked)

    Email

    Both

    Accounts to be unlinked

    9 9 0 1

    9 9 0 1

    9 9 0 1

    Withdrawal Limit

    Card Number

    REQUEST TYPE DAILY ATM WITHDRAWAL LIMITS - PLEASE SELECT

    DECLARATION

    SMS

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