Application for Credimax - University of Bahrain Visa Card
Personal Details
Name (Mr/Ms):*
Date of Birth:
Day
Month
Year
Nationality:*
CPR No: *
Passport No:*
Please fill your name as you want to appear on your card using no more than 20 letters and spaces:*
Present Address
Flat / House No:
Building No:
Road/Ave:
Block No:
Town:
P.O.Box
Home Tel No:
Mobile No:
Email:*
Education Details
University Student No:
College:
Full Time
Part Time
GPA:
No of credit hours covered so far:
Declaration
I declare that the information stated in the application is true and correct to the best of my knowledge, and in the event that the details I have submitted change, I agree to notify CrediMax in writing. I declare that I have received a copy of Credimax General Terms and Conditions relating to Credinet card(s) which i have read, understood and accepted. I authorize CrediMax and / or its authorized representative to contact my bankers or any other source to as collateral and will be used towards settlement of my Card Account(s) as CrediMax may deem necessary as a condition for approving the application. I further understand that CrediMax has the right to decline this application without giving any reason.
Next of Kin Consent
Name:
Relationship:
The Following Documents Are Required
1 - Copy of CPR both sides (for additional cards too)
2 - Latest Original transcript authenticated by the Registrar officials at the University of Bahrain.
For more details please mail to CrediMax P.O.Box 5350, Manama, Kingdom of Bahrain