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JCG.咭在您手·消費遨遊勝一
日本億用保証
JCG.Card|
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1201 1234 600 6600
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日本信用保証財務有限公司 JCG FINANCE COMPANY, LIMITED
日本信用保証財務有限公司
JCG FINANCE COMPANY, LIMITED
1. Applicant must be over 21 years of age.
JCG CREDIT CARD APPLICATION FORM JCG信用咭申請裝
2. Please complets all sections in brock letters, or place a) in the appropriate box 3. To expedite cur processing please attach a copy of your .D. Card and last Tex Assessment or Salary Stalament
YOUR PERSONAL DATA BAR*
1.申請人必須年滿一歲。
FOR OFFICE USE ONLY CARD NO. 1801-
2.請以正缩嵯常费或项“√”在適當方格內- 3. 舞使本公能速瞓理閣下之申請,請附上身份證及最近之解一 薪 影本。
Full Name in English) 英文姓名
Mr. Mies Mrs. *
Date of birth 出生日期
Name (in Chinesa; +TAS | Nationality
HKD Card No. 香港身份燜號碼
Marital Status
[] Single
Others
婚姻狀況
Married 已婚
Educaton I. aval效除错误
University or above DE D Secondary 中學
Others 1
YOUR FAMILY DATA 家庭狀況
Residential address 住宅然址,
Telephona NG带誌
Yests at present address
Residenco: GE
Sall-owned N
| Mongages fäß
DOthers 其他
门 Rented 愆,
Monthly payinent Monthly renta
S S
No. of Dependents
Space's name fin inuliang緊佩英女然名
Name and address of spouse's employer配偶任気公司名研及地址
YOUR OCCUPATION BE
Name and address of employer 僱主名稱及地址
same in Chime 中文姓名
Occupation a
Position MA
Monthly salary
Telephone Na, muiž.
Talephone No
砂内租
Monthly Salary A
HKS
X
Name S
months
Nature of Business #Bik
Amount and source of other income
Present position Bifi
PERSONAL REFERENCE 諮詢人 (Nearest relative/friend un living with you 非與下同住之近親/朋友
Tel No. 12)
Years of service BAY QU
2.
BANK REFERENCE 銀行資料
AFSFEMPIONEED PLEASE GTE COMPANY'S BANA REFERENCE能下演過辦發,請填寫實公司之銀行戶口資料
Bank name 趨行名稱
Branch T
Account No. Ne
C/A
S/A
Cibers
O
□
П
Relationship Bitk
CK) [BRI --
Saturday Weekly
Shopping and Entertainment Guide
華僑日報
星期六週刊 購物與娛樂指南
OTHER FINANCIAL INFORMATION 其他財政資料
Do you have credit Facidles with any bank/finance company 閣下是否⇐任何銀行,要核公司有信用贷动 Type 类别 Overdra
Hire purchase & Di
Credit Card 用咭
Limit $ Art A
CHEDIT REFERENCE 其他信用資料
C Personal icon Y: Mortgages M
A/C No. 3
CYES 4
Amts Aml, 10
member since修网主
ADDITIONAL CARDIOLER 附屬咭 /PLEASE FORYARD 1.D. CHY 請提供身份證副本
Name of Bank/Finance Co Wa Yu
Credit limit £SHEREEN
1 hereby authorize and request you to issue in accordance with the Terms and Conditions of the Cardholder Agreement an additional ICG Cars to the person named below who is nul less than 21 years of age for use on my JCG Card account.
Full Name (in English) 4
Name (in Chinese) + ze
Su
HKYD Curd Ma蟲從座诒班嗎 Date of birth
Relationship Ṁ:
譚詠麟
獨樂樂
西班牙
Residential address 住地址
BILLING ADDRESS AND CARD COLLECTION INSTRUCTIONS BEWORDEN
Please send statement 10: 425 BARRE (Post box not accepted
D Residenual address 住宅地址
□ Business address 公司地址
Please send my JCG Card to JCG Finance Co. Ltd. 请将本人之病用已本信用保證財務有限公司
Branch for my collection.
SIGNATURE'S 簽署
Telephone No.
wwe confirm that all information given zbava la true, nowest, and comiptole and beruby authowiżu you to verity the above information from whatever sources you may choose several ability for alf transactizes incurred by all card) insosd on the nearurl I/We agree to be bound by die temas as conditions of the JCB Cardholder Agregmont plied (including this application form) are not isumable. We acknowledge and agree that you may refuse this appkustina without anyagring a reasiois Diereto.
X
Signature of Principal Card Applicant
FOR OFFICE ESE ONLY 以下只限本公司紀錄之用,不必填寫
D.V.
C/L
APP.
REJ.
X
Signature al. Additional Card Applicant
填念之表格達同有關文件之影印本,請寄回香港政經溼您相第11102號或餘打分钟
122
--
REMARKS WXYP
We agree to accept joint and
L'We agree that the document sup
Date
屆香港國際電影節
一九九○年三月三十一日