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ASIA VISA

Apply on-line process
* Bank reserves the right to the final decision in approving credit card's application
¸¹Ò¤ÒÃàÍàªÕ For additional assistance,please call 02-789-3040 or support@silkspan.com

Inquiry on application progress please call 02 2851555 or AsiaPhone@boa.co.th
Employment Details (Important - Please fill in this section before applying)
Employment status *   Other ,please specify  
Length of employment *   Year    Month
Income *   15,000 Baht min.
(30,000 Baht min. for self-employed)
Income received via * Account transfer
Cash/Cheque

Select only 1
ASIA VISA Silver ASIA VISA Gold (Income 40,000 Baht min.)

Personal Information
 * Required
Name in English *      
ID Card No./
Passport No. *
Expiry date *  /   /   Ex. 31/1/2005
Date of Birth (D/M/Y) *  /   /   Ex. 31/1/2005  Nationality  *   
Present Address Home Address *         Moo   

Mooban/Apartment         Soi         

Street *       Kwang       

District *    or

Province *      Postal Code *   
Home Tel. *    Mobile Tel.    -
Email *
 Receive approving progress step-by-step.
Residence is Owned
Family's
Company quarters
With Others, please specify  
How long have you resided here?       yrs.
Education

Marital Status
 
Marital Status *    Number of children   
Name of spouse   Lastname   Mother's maiden name 
Spouse's Office Address Company's Name          Company's Address    

Soi         Street   

Kwang         District   

Province      Postal Code   
Tel.    Ext.   
Monthly Income of spouse

Occupation & Income (15,000 baht minimum/month)
 
Office address Company's Name *  

Building             Floor       

Department    

No. *         Soi   

Street *      Kwang   

District *      or

Province *      Postal Code *   
Tel. *    Ext.   
Type of Business *    Position *   
Start Employ *      
If less than 2 years, please state previous company's name & telephone number. Company's name    
Years there      yrs.   Tel.   

Personal Reference
 
Name       Surname   
Home address Address  *       Moo       Mooban/Apartment   

Soi         Street  *  

Kwang    

District  *    or

Province  *     Postcode  *  
Home Telephone *    Mobile   
Relationship *

Billing Address and Card Delivery
 
Billing Address Home    Office
Card Delivery Pick Up card at Bank of Asia, branch  *    

Credit Reference
  Type of Account Account Name Yrs. Bank Name Branch Account No.
1 *

Current Credit Cards
Credit card Credit Limit Member since
1


I hereby certify that the above information is true and the Bank can use it for its operation in all respects. Thus, I authorize you to verify and exchange any of my personal and/or credit information and/or the use of service or any information and/or the supplemental applicant(s) with any person and/or juristic person and/or government authorities in all respects without revocation of this consent or claim for any damage against the Bank. I also request the Bank to issue, renew and/or replace, as the case may be, the Card for me and/or the supplemental applicant(s) as I request. I and the supplemental applicant(s) agree to be bound and comply with terms and conditions of Credit Card Membership issued by the Bank at present and/or in the future. I agree to be liable for all obligations, fees or other expenses incurred from the use of the Card and/or Supplemental Card in all respects.

I have read and accepted the terms and conditions of Credit Card Membership issued by the Bank as appeared on the computer monitor prior to my applying of the Card. The original of the terms and conditions will be delivered together with the envelop containing the Card after the approval has been granted.

I agree that all notices to be given by the Bank to me at the address and/or workplace as notified above or at the latest address notified to the Bank shall be deemed to have been legally served to me in all respects. Any change upon my instruction notified to the Bank whether by facsimile, electronic data and/or AsiaPhone of the Bank, etc. shall be deemed an act performed upon my instruction and binding me without requesting any original of the document or confirmation evidence from me. However, it shall not preclude the Bank's right whether or not to perform upon my instruction.
 

Your "PERSONAL INFORMATION CENTER"
 
Please specify Username and Password. You will need them to
1.  Log into your "Personal Information Center" to monitoring
the progress of your application
2.  Re-apply for other products using pre-filled application
Username :    
Password :    
Confirm Password :    




* Silkspan Company Limited has been officially designated to provide online card application service
via www.bankasia4u.com and document delivery/retrieval services by Bank of Asia Public Company Limited.