FBC mastercard form IDPC

FBC Bank Limited
International Debit/Prepaid Card Application Form
(Registered Commercial Bank)
FBC Bank Limited Branch
Date
Master Card
CARD REQUIREMENTS tick the appropriate box( √)
New Card
Replacement Card
TYPE OF CARD
Classic
Gold
Prepaid
Business
CUSTOMER PERSONAL DETAILS
Title
DOB
First Name(s)
Surname
DD MM
YYYY
Sex
M
Marital status:
F
Physical Address
Country
City
Province
ID/Passport Number
Landline No.
Mobile No.
E-mail
USD ACCOUNT TO BE LINKED
(For Prepaid Cards Only) AMOUNT TO BE LOADED
Amount in figures
Amount words
DECLARATION BY ACCOUNTHOLDER
I
agree to be bound by the terms and conditions under which this International Card
is issued and maybe amended from time to time.
Signature
Date
DD MM
YYYY
ACKNOWLEDGEMENT OF RECEIPT
I acknowledge receipt of the above mentioned International Debit/Prepaid Card and confirm that I have received and read
the Terms and Conditions applicable thereto and that I fully understand the contents thereof, and agree to be bound by such
agreement and Terms and Conditions.
Card Number
Signature
Date
DD MM
YYYY
FOR BANK USE ONLY
VIP
Normal
Checked by
Date
Approved by
Date
Bank Stamp
FBC Bank Limited (hereinafter refered to as FBC Bank) is committed to national and international law, rules and regulations and policies regarding the
combating of criminal activities, money laundering and terrorist financing. All applications and all information concerning the customer are therefore
subject to verification, processing and screening and FBC Bank may be obliged to decline certain applications. In addition, upon the acceptance of an
application, all information, instructions and transactions for and on behalf of the customer will be subject to continuous screening which may prohibit,
limit or delay the execution thereof and which may oblige FBC Bank to terminate its relationship with the customer. To the extent permissible, FBC Bank
shall advise the customer of any prohibitions or limitations on such applications, instructions and transactions. FBC Bank , its employees, officers, and
directors shall not be liable for any , special, punitive, indirect or consequential losses or damages, including, without limitation, loss of profit, or any
anticipated savings
(A)
CONDITIONS OF USE OF THE ATM CARD
The card has been issued by the FBC BANK Limited on the following conditions:
1.
The Card remains the property of FBC Bank and upon cancellation, must be surrendered on demand to FBC Bank
2.
The Card is not transferable and may only be used by the Cardholder.
3.
FBC Bank is authorised to debit the Cardholder’s FCA (USD) account with all such withdrawals. FBC Bank, at its sole
discretion, is entitled to select any funded account to be debited.
4.
The Card does not entitle the Cardholder automatic overdraft facilities nor will it entitle the Cardholder the right to
countermand or stop payment without prior approval of FBC Bank. Post - dated cheques drawn in terms of this Card will not
be accepted.
5.
FBC Bank may, at its sole discretion withdraw the Card if the Cardholder issues a cheque under the protection this Card for
which funds are not provided or where no prior arrangements for overdraft facilities have been made. A penalty charge will
be levied at current rates for any cheques issued and guaranteed by this Card without sufﬁcient funds to meet them.
6.
A Cardholder must exercise all due care to prevent:
a)
The loss of the Card
b)
The use of the Card and PIN by third parties
7.(a)
If the Card is lost, stolen or the Pin has become known to an unauthorised person, the Cardholder must
notify FBC Bank of such a loss, theft or disclosure.
Any verbal communication must be conﬁrmed in writing within seven days.
The Cardholder shall remain liable for any transactions done by any unauthorised user prior to receipt by FBC Bank of
notiﬁcation of such a loss, theft or disclosure. Hotline: +263 4 761198; Email: [email protected]
(b)
The Cardholder shall remain liable for any transactions done by any unauthorised user where a cheque book and cheque
card have been kept together.
8.
The Cardholder may cancel the Card at any time by returning it to FBC Bank.
9.
FBC Bank may, at its discretion, if it is being used contrary to any of the foregoing conditions, cancel a card without
consulting the cardholder.
10.
FBC Bank is authorised to charge and debit the Cardholder account with such fees as it may from time to time determine.
11.
These conditions have been drawn up in accordance with the laws of Zimbabwe.
12.
FBC Bank Limited through MasterCard will honour and verify transactions from Internet sites that request for a CVV2 or
Card Veriﬁcation Value or check Digit Number or Secure Code (The three digits at the back of the card). FBC Bank
Limited will not be held liable for any losses that occur where internet transactions are conducted on internet sites that
DO NOT request for a CVV2 or Card Veriﬁcation Value or Check Digit Number for card validation
Signature:
Date:

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