Capital Ibra Maslahat Bumiputra Bank: Credit Cards

POST PAY INSTALLMENT REQUEST FORM

CARDHOLDER INFORMATION

*Required fields

NAME OF CARDHOLDER

EMAIL ADDRESS

MOBILE NUMBER*

BEST TIME TO CALL

CARD TYPE*

POST PAY INSTALLMENT TRANSACTION DETAILS

TRANSACTION AMOUNT*

*Indicate your Total Amount Due or a portion of your Total Amount Due

CHOOSE YOUR INSTALLMENT PAYMENT TERM:

Term	Monthly Add-On Rate	Factor Rate	Annual Effective Interest Rate
6	1.00%	0.176667	20.2880%
12	1.00%	0.093333	21.4572%
18 *	1.00%	0.065556	21.6426%
24 *	1.00%	0.051667	21.5712%

*Applicable payment terms may vary based on the offer you qualified for. All requests are subject to bank approval.

Read Post Pay Installment Terms and Conditions. CLICK HERE.

CARDHOLDER ACKNOWLEDGEMENT

I warrant that all information given in this application form is true and correct. I hereby authorize C-I-M-B to verify such information and investigate from whatever sources it may consider appropriate. In case of material change in any of the foregoing information, I hereby undertake to immediately notify C-I-M-B of the same. I understand that misrepresentation under this application form and any document submitted therewith constitutes sufficient grounds for legal action against me, as well as for the denial of this application and/or the cancellation of my credit card/s, without need of prior notice. I hereby acknowledge and authorize the transfer, disclosure and communication of any information relating to my credit card/s with C-I-M-B and/or its parent companies, subsidiaries or affiliates, as well as its third party providers, agents, and representatives, for purposes of data processing and storage, customer satisfaction surveys, products and service offers and updates through post/email/fax/SMS/telephone, and for any other purpose C-I-M-B deems appropriate and relevant to me, and/or as may otherwise be required by laws, rules and regulations. I also hereby authorize C-I-M-B and any of its authorized representatives to conduct random verification with the Bureau of Internal Revenue to establish the authenticity of the income tax returns and financial statements that I have submitted to C-I-M-B, as well as my credit information to the credit bureau and/or as may be necessary for C-I-M-B to comply with RA. 9510 and its implementing rules and regulations. The foregoing constitutes my written continuing consent to any such submission and disclosure of information relating to my accounts for the purposes stated above and as may otherwise be required under applicable laws, rules and regulations. Accordingly, I hereby hold C-I-M-B free and harmless from any liability that may arise from or otherwise be related to any such transfer, disclosure, processing and/or storage of information relating to my accounts.

I acknowledge that I have read, understood and agree to the Terms and Conditions of the C-I-M-B Post Pay Installment Plans