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日本信用保証財務有限公司

日本信用保証財務有限公司

JCG FINANCE COMPANY, LIMITED

T ́ Applicant must be ove: 21 years of age.

JCG FINANCE COMPANY LIMITED

JCG CREDIT CAUD APPLICATION FORM JCG信用咭申請表

Pbase complete pit sections in black letters or place a (√) in the appropriate bez

3. To expedite processing please attach a copy of your

mentor Belury Statement.

YOUR PERSONAL DATA BARH

-Full Name On English) AIES

- Mr. JEE/Miss 48 7M¢***

Dele sal birth £1

YOUR FAMILY DATA RÉ

[Résidenta): NdUTARA KESEMBI

Marital Status

Single

港姐默况

3。申請人必須年滿廿一邊,

蛋邊單影本。

| FOR OFFICE USE ONLY

LCARD NO.1801

Kame din Chinogo 中文姓名 | Nationality盗用

HK/C Card No. BEADEYA

Omers Kit

Education Leaf B

derwrsity or abow KORE 门 Sacondary 中興

Telepnice No.

Years at presest address

Residence: #

Self-owned BR

Mongaged ft

口 ihers 其做

Rented S

Spome's me in English) Istaa

Name and address of spouse's employ or 1200 €23-1)-2AZE

Monthly payment Monthly rental Name in Chinese 0.

S

S

Occupation *

Monthly salary, 1

YOUR OCCUPATION RE

Kame and address all employer RSS

Telephone No. TA

Monthly Selery HAB...

Name

Nature of Businesa ✯✯S

Prescri pasilan Beiz

Ambunt Bad soorte of other income BRAGARR

months细咨

Address Ma

No. of Dependents 供爱人数

PERSONAL REFERENCE ÇA (Nearest relanverfriend not Uving with you 3F8EFEŁZŐR / BR

BANK REFERENCE $877MH

Branch 17

Accom No. EINER

Tel No. S

Position ht

Telephong t電能

Years of service E**

Palanship R

SIA

Saturday Weekly

Shopping and Entertamment Guide

華僑日報

星期六週刊 購物與娛樂指南

OTHER FINANCIAL INFORMATION RÆMIEH

Do you have ored lies with any bank/finansu company ESZEMRER? Type M

Overdraft

L限定

CRENT REFERENCE 其他信用資料

Mongages

3

Credit Card A

NTIONAL CARDIOFF 附屬痘

A/C NO. BUKE

ES it

No

Marie of Bank/Paznice C¢ £7/20

Porcona toan

Aml. 45 AML 35

Member skice PRASA

PLEASE FORWARDED. COPY 請提供身份證副本

Cred

Thereby authorize and request you to issue in accordance with tas Terms and Conditions the Cargnader Agreement an additional ¿Es Carą to die pómor, named below who is not less than 21 years of eye for use on my JCG Card accent

Full Name (in English) XM

Name in Chinese)中艾效密

Sex性补

Residental address A O址

BILING ADDRESS, AND CARD COLLECTION INSTRUCTIONS #FUNA Please send slaloment to: ITM HEYRE Pust box not accepted NM) Residential sodres Erge

Basins address 5

-Plüsse Bend My JCG Cord to JCG Finance Co. Ltd.

Branch for my collection

Date of birth2310

Telephone No

Fredenship

LOVE PONUDA Wa att information gives shove it trie, comaci and complete and hereby authbote you to venty the above informabon from whatever sources you may chocse. ©jraje agres to accept joint and Sevecht mbyty dorfali wan sections incurred by all cards) issued on the account. Triye, agree to be bound by the ten od zondon or the JCG Ceranorder Agreement, thin agréé mg: die documents supe ished including the application form) are not retomablo. We acknowledge and agree that you may restrise this application without assigning in vokson therefor

Signaturs al Principe Card Applica

FEEL 以下只限本公司紀錄

· SARGENTO IN Azemories Card Appitonet.

WKYP

梅艷芳欲罷不能!】

·湯告魯斯信奉邪教

香港鷄價四十年不过

商場傳員——夏日節掛兩藏价

生活品味,閒情世界週末羅番本 星期六週刊一晚!

魂安之表格連同有關文件之影印本,請寄回香港郵政總局信箱第1302號或者JCG分行

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