Reminder! Have you signed the application form? filled in ALL fields in the application form? attached ALL the required documents? UNITED OVERSEAS BANK LIMITED UOB CARD CENTRE ROBINSON ROAD P.O. BOX 1688 SINGAPORE 903338 BUSINESS REPLY SERVICE PERMIT NO. 02051 Much more than just an ATM Card The UOB Direct Visa Debit Card works just like cash and NETS, with all the lifestyle privileges you need. Postage will be paid by addressee. For posting in Singapore only. See how much more you can do with the UOB Direct Visa Debit Card: Ordinary ATM Card UOB Direct Visa Debit Card Withdraw cash from ATMs in Singapore and worldwide PIN-based purchases Enjoy rebates when you spend. Get up to 10% SMART$ rebate on the spot at over 900 participating outlets islandwide. 1 SMART$ = S$1, so offset your purchases at Shell, Cathay Cineplexes, Cold Storage, Giant, Guardian, Sephora, The Coffee Bean & Tea Leaf, World of Sports and many more. Visit uob.com.sg/smart for details SMART$ merchants Worldwide Visa Acceptance including online, mail order and phone order purchases Use on MRT/LRT, bus and Comfort DelGro taxi and CityCab fares SMART$ rebate Beauty & Wellness Sephora Contactless payment Guardian Get up to 10% savings with UOB SMART$ Rebate Programme Electrical & Gadgets UOB Card shopping, entertainment and dining privileges EpiCentre United Overseas Insurance Product Fees 3% 0.5% 3% 5% Petrol Waived with 12 Visa transactions annually UOB Direct Visa Debit Card annual fee S$18 Overseas ATM cash withdrawal fee S$5 per transaction For general Debit Card fees and charges, visit uob.com.sg/debit/fees. Shell Debit Card Transaction Limits5 4% 2% Health Default Daily Limit OGAWA Bengawan Solo 3% Hard Rock Cafe 3% PasarBella 1% Polar Puffs & Cakes 2% The Coffee Bean & Tea Leaf 10% 3% bYSI 3% Giordano & Giordano Junior 3% Capitol Optical 3% Crocodile 3% Winter Time 2% S$3,000 Groceries NETS S$2,000 Cold Storage 0.5% Metro Visa6 S$2,000 Giant 0.5% Sports Jasons 0.5% World of Sports Minimum top-up amount Maximum stored value Market Place 3% BreadTalk ATM (Singapore) NETS FlashPay Online, overseas, and contactless payments • Accepted at over 30 million Visa merchants globally. • Fast and secure contactless payment with Visa payWave. UOB Card privileges • Earn SMART$ rebate at over 900 participating outlets islandwide. • Enjoy exclusive 1-for-1 offers, travel deals, entertainment privileges, and more. ATM and NETS access Retail Movies Cathay Cineplexes SMART$ rebate Food & Beverages Insurance General Information4 SMART$ merchants We put in more benefits, so you get more out of your UOB Direct Visa Debit Card. • Access to over 1,200 ATMs in Singapore1. • Global ATM access on the Visa Plus Network. • Use NETS to pay for purchases at over 14,000 outlets islandwide. Public transport payment • Use NETS FlashPay to pay for MRT/LRT, bus, and Comfort DelGro taxi and CityCab fares. It can also be used for quick purchases at a wide array of acceptance points islandwide. Enhanced security Department Store 2% • EMV Smart Chip protects against “skimming”. • Secure online shopping with Verified by Visa and SMS transactional alerts2. • Zero liability on unauthorised charges3 to lost Cards. Spend control 2% 0.5% • Purchases are debited directly from your account. • Check transactions and balances with UOB Personal Internet Banking, Mobile Banking, or monthly statements. S$10 S$500 These conditions may be subjected to change. Please note that the Debit Card limits are still subjected to the retail bank balance in the respective linked UOB retail accounts. The Debit Card limits for overseas ATM withdrawals may vary. The Bank may set a Debit Card limit with respect to the use of the Card and may vary the Card limit without notice. 6 The applicable Visa limit applies for all Visa transactions. 4 1 5 2 Includes OCBC ATMs under the Shared ATM Network. Please ensure that your mobile phone number is updated with us. The Cardmember who notifies the Bank that his/her Card has been lost, stolen or PIN disclosed, shall not be liable for any Card transactions effected after the Bank has received notification of such loss, theft, or disclosure, provided that such loss, theft, or disclosure is not due to negligence, fraudulent act, or default on the part of the Cardmember. 3 SMART$ terms and conditions apply. Visit uob.com.sg for more information. United Overseas Bank Limited Tel: 1800 222 2121 Website: uob.com.sg UOB DIRECT VISA DEBIT CARD APPLICATION YOUR PLACE OF WORK/STUDY 6. I/We confirm that I/we have read and understood the Bank’s Privacy Notice (Individual) (available at uob.com.sg and the Bank’s branches) which forms part of the terms and conditions governing my/our relationship with the Bank. I/We consent to the Bank collecting, using, and disclosing my/our personal data for Basic Banking Purposes, Co-Branding Purpose, Research Purpose and Marketing Purpose as described in the Bank’s Privacy notice(Individual). I/We note that (a) I/we may withdraw consent for any or all of the purposes at any time; (b) if I/we withdraw consent for Basic Banking Purposes and/or Co-branding Purpose, the Bank may not be able to continue to provide the products and services to me/us; (c) if I/we withdraw consent for Research Purpose and Marketing Purpose, my/our personal data will not be used for these purposes unless I/we expressly and separately consent to the same again. 7. agree that, for UOB Delight Debit Card ( “Co-brand Card”), all personal data provided by me in this application for the CoBrand Card and information and details of my Co-Brand Card account(s) which may be issued to me and transactions made thereunder may be shared by you with the respective co-brand partner associated with the Co-Brand Card (“Co-Brand Partner”) to enable the Co-Brand Partner and its agents and authorised service providers to collect, use and disclose my personal data to any person the Co-Brand Partner deems appropriate or necessary for the purposes of:a. processing this application and provide services associated with the Co-Brand Card account; b. offering, marketing or promoting any promotion or offer relating to the Co-Brand Card account; c. administering any benefit, privilege and term applicable to the Co-Brand Card account; d. offering, marketing or promoting any product and/or service provided by the Co-Brand Partner; and e. conducting research or analysis relating to any product and/or service provided by the Co-Brand Partner, whether conducted by the Co-Brand Partner(s) or jointly with any other party. 8. acknowledge and agree that you and the Co-Brand Partner (if any) will be separately collecting, using and disclosing my personal data and each party shall only be responsible for its own collection, use or disclosure of my personal data, and shall not be liable for the other party’s handling or use thereof. I agree to directly address any queries, access or correction requests, or complaints in relation to the handling of my personal data to the relevant party. 9. acknowledge and agree that this application and all documents submitted to you including all verification documents obtained by you shall belong to you and will be retained by you; and 10. confirm and agree that if this application has been sent by fax and/or email, you are authorised to rely and act upon on the faxed and/or emailed copy without the original. I/We would like to be kept informed of promotions, offers, products and/or services marketed by United Overseas Bank Limited and its related corporations (“UOB Group Members”) and, where applicable the co-brand partner associated with the card applied for in this application (“Co-Brand Partner”) and I/we hereby give my/our consent to any UOB Group Member and the Co-Brand Partner to contact me/us via all modes of communication (voice calls, SMS/MMS, fax) using my/our telephone numbers in your records. I/We agree that any consent given is additional to any other consent which I may have previously provided to UOB Group Members to inform me of marketing information; and does not supersede any rights which the UOB Group Members may have at law to collect, use and disclose my personal data. Name of Company/School* þ YES! I would like to apply for the UOB Direct Visa Debit Card (700/802) Occupation Annual fee: S$18 (free for first 3 years) Telephone & Ext (if applicable) Important Information: 1. Eligibility a. You must be 16 years old and above. No minimum income is required. b. You must submit a photocopy of your Passport with at least 6 months validity or NRIC with this application form. c. You must hold a personal or joint UOB Savings/Current account. For joint UOB accounts, only and/or accounts are eligible for this application. d. If the bank account is operated by thumbprint, you will need to convert it to a signature-operated account at the branch before completing this application. 2. Do ensure this application is duly completed and signed. Any incomplete application form and documents will result in delay in processing. PLEASE TELL US ABOUT YOURSELF BANK ACCOUNT TO BE LINKED Please link my UOB bank account to my UOB Direct Visa Debit Card that I am applying for herein: Account Number: Please select language to use for ATM screen setting Language : DAILY VISA LIMIT Your daily Visa limit is S$2,000. If you wish to set a different daily Visa limit, please select accordingly: S$1,000 S$5,000 S$10,000 S$50,000 Others, please indicate amount S$ Name as in NRIC/Passport (underline surname) Mr Ms Dr # NRIC/Passport/PR* No. For Singaporeans, please provide NRIC no. only For Foreigners: A photocopy of Passport with at least 6 months validity is required. Country of Residence Country you are currently residing in or intend to reside in, for more than 1 year (e.g. Singapore) Bill to Local Home Mailing Address House/ Block Street/Building Name Postal S Code Home Telephone Passport Expiry Date (DDMMYYYY) For non-Singaporeans only Unit # - Mobile Tel.No.# E-Mail Address Mother's Maiden Name (for emergency identification purposes) * Please delete where appropriate. Note: Please sign according to your UOB bank account which the UOB Debit Card will be linked to. UOB PERSONAL INTERNET BANKING AND MOBILE BANKING SERVICES (“PIB/MBK”) Mandatory for Card activation and One-Time-PasswordSMS-OTP __________________________ Date _______________________________________ Signature of Applicant FOR BANK USE Bank Verification Note: Debit Card Security Alerts and SMS-OTPs to authenticate instructions will be sent to your mobile phone number. Singapore Permanent Resident r Yes r No Date of Birth (DDMMYYYY) (S$50,000 maximum) Via PIB/MBK: • View balance: if you do not currently have PIB/MBK access, a PIB/MBK username and password will be issued to you. • Limited access (SMS-OTP): if you already have PIB/MBK access via SMS-OTP (One-Time Password) or; if you provide a mobile phone number in this application form. • Full access (SecurePlus token): if you already have PIB/MBK access via SecurePlus token or; if you apply for a SecurePlus token by completing the Two-Factor Authentication (2FA) Registration/Update Form available at uob.com.sg. Name to appear on Card, including surname (within 19 spaces) Gender Male Female Nationality English Chinese _________________________________________ DECLARATION OF APPLICANT (IMPORTANT: PLEASE READ BEFORE SIGNING) DECLARATION OF APPLICANT I hereby: 1. represent and warrant:a. that all information provided by me in this application and in any other document submitted to you is true, accurate and complete and if there is a change in the information provided or becomes inaccurate in any way, I shall promptly notify you of the change or inaccuracy; and b. at the time of this application, I am not an undischarged bankrupt and there has been no statutory demand served on me or any legal proceeding commenced against me. 2. acknowledge that you may choose to either approve or reject this application and I agree that you do not need to provide a reason for your approval or rejection. 3. confirm that I have obtained, read, understood and agree to be bound by the following (“Terms”):a. UOB Debit Cardmember Agreement; b. Terms and Conditions Governing Accounts and Services; c. Terms and Conditions of UOB Personal Internet Banking and UOB Mobile Services; and d. NETS Terms and Conditions Governing the Use of NETS FlashPay; [Terms are available at uob.com.sg]. 4. agree:a. you may review and change my debit card limit at any time without prior notice to me; b. in addition to the modes and manner you may send notices and communications to me under the Terms, you may send notices and communications to me in any mode and manner you deem appropriate to my last known address, facsimile, telephone/mobile phone number and/or electronic mail address in your records; c. the card applied for in this application (“Card”) will be renewed upon its expiry without further reference to me/us unless the Card account(s) is terminated before that; d. the Card shall be linked to the savings/current account specified in this application form and all card transactions and related fees and charges shall be debited from that account; and e. the Card comes with a NETS FlashPay stored value facility of which Network for Electronic Transfer (Singapore) Private Limited (‘NETS’) is the holder and operator. 5. consent and authorise you to conduct any credit check on me as you may require from time to time and to obtain, verify and/or disclose any information relating to me including information and details of the Card account(s) from or to the parties set out in the terms relating to your rights of disclosure under the Terms including any credit bureau and any person you deem appropriate or necessary for this application or as may be required by any applicable law; ____________________________ Date Officer's Signature/Branch Stamp Promo Code P00010 Source Code CIF NO. Monthly Limit Billing Cycle Occ Code Br/Staff Code Freend Cd Fee Date Rev Code Expiry Decision Officer’s Name Approval Signature Input By/Date Process By/Date Date Received Branch Stamp Special Instructions Status SD RTP NS BA CASA A/C NR Others SC: 50020 For new Card applicants without UOB Personal Internet Banking and Mobile Services (“PIB/MBK”), the mobile phone number provided will be used for SMS-OTPs (One-Time Password), credit card security alerts, and authentication subscriptions. If you already have PIB/MBK, your new Card or CashPlus account can be accessed with your existing PIB/MBK username and password. If your mobile phone number has changed and you wish to have it updated, please complete a Change of Address/Contact Details Form available at uob.com.sg. The provision of this application form does not automatically indicate that United Overseas Bank Limited will accept the contents and issue a Debit Card. United Overseas Bank Limited reserves the right to reject the application without assigning any reason whatsoever. All information is correct at time of print. United Overseas Bank Limited Co. Reg. No.193500026Z DCVer2.0_Jan2017 #
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