T29297 293716 BOC Supp Form.indd 1 1/15/13 7:09 PM

Name 姓名:

BOC Credit Card Account No. 中国银行信用卡号码 :

- - -

_ _ / _ _ / _ _d d m m y y 日 月 年

Sex 性别

0 F 女 1 M 男

PR 永久居民

Y 是 N 否

NRIC/Passport No.身份证/护照号码

Date of Birth出生日期

Nationality国籍

years annual feewaiver*

BOC Family Rebate Card 中银家庭回扣卡

BOC Healthway Wellness Platinum Card 中银康威白金卡 ( Complimentary 附赠)

Great Wall Card VISA Platinum 长城威士白金卡Great Wall Card MasterCard Platinum 长城万事达白金卡Great Wall Card UnionPay Platinum 长城银联白金卡 ( Complimentary 附赠)

SF

01/2

013

✔

✔

08000001

Sign up for a Bank of China Supplementary Credit Card and enjoy 2 years annual fee waiver (S$75 p.a.).

申请中银附属卡，就能享有两年免付年费。

Name as in NRIC / Passport (Please underline surname)姓名 (与身份证 / 护照一 致并于姓氏下划线)

Mr 先生 Miss 小姐 Mdm 女士 Mrs 太太 Dr 博士

Name to appear on Credit Card (19 characters) 显示在信用卡上的姓名（不超过19个字母）

Please select your choice of BOC Supplementary Credit Cards(s)

5 years annual fee waiver for BOC Healthway Wellness Platinum Card

T29297 293716 BOC Supp Form.indd 2 1/15/13 7:09 PM