Document Sample
					UOB Visa Signature Star Travel Deals
Be continuously delighted with exclusive travel deals every month with your UOB Visa Signature Card.                                                                         Business Class Upgrade                 Welcome to a world of limitless travel, where you get to fly anytime you like
                                                                                                                                                                                 and Discounts

                                                                                                                                                     1-for-1 Airfare                                                to anywhere in the world. With more generous rewards, a choice of more than
Top Spender Rewards                                                                                                                                                                                                 100 airlines and flexible redemption, you’ll get to enjoy free travel sooner, more
There's no other card that rewards you more on your card spend. The top two spenders of the month                                                                                              Most Flexible
                                                                                                                                                                                                                    frequently and just the way you like it.
will stand to win attractive air tickets to exciting destinations such as London, Europe, Los Angeles,
San Francisco, Vancouver, Taipei, Seoul, Japan, Beijing, Manila, Bangkok and Hong Kong4!
                                                                                                                                            Personal Travel

UOB Visa Signature Affairs
                                                                                                                                                                                                      No Blackout
The UOB Visa Signature Card also comes with the following privileges:
                                                                                                                                                     THE UOB VISA
    • Free parking at Meritus Mandarin, Meritus Negara Orchard and Swissotel and Raffles The Plaza
    • Free access to Hyatt Club Oasis and Visa Infinite Box at the Turf Club
                                                                                                                                                   SIGNATURE CARD.
                                                                                                                                                  TRAVEL SOONER, JUST THE WAY YOU LIKE IT.
    • Free coffee for two at tcc every weekend when you charge any amount to the card during the week
    • Privileges at over 500 restaurants and dining outlets island-wide
                                                                                                                                                              Travel Deals
    • Regional privileges at over 700 outlets in 8 cities
                                                                                                                                                                                                                            Where will your
                                                                                                                                                                                           Most Generous
                                                                                                                                                                                             Rewards                               Signature take you?

                                                                                                                                                Access to Over
                                                                                                                                                 100 Airlines

Terms and Conditions:
    Northwest Airlines: Valid for flights to all US and Canadian cities operated by Northwest Airlines till October 2006.
    Cathay Pacific: Valid for flights to Hong Kong, Taipei, Seoul, Los Angeles and Bangkok till March 2007. Swiss Air: Valid for flights
    to Europe till December 2006. Garuda: Valid for flights to Jakarta, Bali, Ho Chi Minh, Shanghai and Bangkok till December 2006.
    China Airlines: Valid for flights to Taipei till March 2007. Asiana: Valid for flights to Incheon till December 2006.
    ANA: Valid for flights to Tokyo with purchase of published Economy and Business Class airfares till November 2006. Eva Air:
    Valid for flights to Taipei with purchase of published Economy Class airfares till August 2007. Northwest Airlines: Valid for flights
    to San Francisco, Portland (OR), Los Angeles, Toyko and Nagoya with purchase of discounted Economy Class airfares till                                                                                                           SIGN UP NOW!
    December 2007.
                                                                                                                                                                                                                                     Speed up your next dream holiday! Sign up now to enjoy
    Terms and Conditions apply.
                                                                                                                                                                                                                                     UOB Visa Signature Card privileges and attractive welcome gifts.
Visit for full Terms and Conditions.                                                                                                                                                                  To apply, call 1800 358 1181 or visit
                                                                                                                                                                                                  U O B VI S A S I G N A TU RE C A RD M E M B E R S H I P A P P L I C A T I O N F O RM ( Z U J I C U S TO M E R S )
                                                                                                                                                                                                                                                                                                                  ELIGIBILITY: To apply, applicants must be aged 21 years and above.
                                                                                                                                                                     Existing UOB Principal Cardholders (who meet the minimum income eligibility criteria
Most Generous Rewards                                                                                                                                                for UOB Visa Signature Card) only need to complete 1, 3 and sign under 13. For your
                                                                                                                                                                                                                                                                                                                  • For Singapore Citizens and Permanent Residents: minimum income of S$60,000 p.a..
                                                                                                                                                                                                                                                                                                                  • For Foreigners: minimum income of S$80,000 p.a. or if you do not meet the income requirement, a minimum Fixed Deposit Collateral of S$50,000 is required.                                                                                                                                                        FUND TRANSFER
                                                                                                                                                                     convenience, no income documents will be required. If you have had a change of employment,                                                   • Supplementary card applicants must be aged 18 years and above.
                                                                                                                                                                     please complete 2 and attach your updated income documents.'                                                                                 ANNUAL CARD FEE (inclusive of GST): Principal Card: S$200. Supplementary Card: S$100 ^                                                                                                                                                                                                                             Cash in on our 0% p.a.* Fund Transfer
The UOB Visa Signature Card may be the most rewarding card you can own, with you having to spend                                                                                                                                                                                                                  DOCUMENTS REQUIRED: Please return this form upon full completion, together with a copy of your Identification Card (for both principal & supplementary card applicants) and with the following documents. For Employees: Latest IR8A Form, last 6
                                                                                                                                                                                                                                                                                                                  months’ original CPF statements or computerised payslips for the past 3 months. For Self-employed: Copies of the past 2 years’ Income Tax Assessment Forms and last 3 months’ bank statements. For Foreigners: In addition to the above, a copy of
less than other cards to enjoy free holidays sooner and more frequently.                                                                                            The first 200 approved applicants before 30 November 2006                                                                                     your valid Employment Pass and Passport.Existing UOB Credit Cardmembers: Latest income documents as above if you wish to have your Credit Limit updated or there has been a change in your previous employment.                                                                                                              Amount Transferred                                 Preferential interest rate for 6 months*
                                                                                                                                                                    will enjoy a complimentary dining voucher!** (MS0034/S03)                                                                                     NOTE: If you are already an existing UOB Phone Banking customer, your UOB Credit Card account will be linked to your current Access Code and PIN. If you are not an existing UOB Phone Banking customer, a new Access Code and PIN will be sent to
                                          Card spend required to fly to the following destinations                                                                                                                                                                                                                you upon approval of your UOB Credit Card application.

                                                                                                                                                                                                  1. PLEASE TELL US ABOUT YOURSELF                                                                                                                                                                                                                                                                 11. UOB PERSONAL INTERNET BANKING
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 S$500 and above                                                      0% p.a.*
                             UOB Visa                                                                                                                                                                                                                                                                                                                      3. YOUR CREDIT REFERENCES
   Destination            Signature Card                    Other Credit Cards                     Other Travel Cards                  Maximum Savings               Name as in NRIC/Passport/PR* (underline surname)                             Mr       Ms         Mrs        Mdm          Dr                   Are you an existing UOB Customer                       Yes       No                                                                                A UOB Personal Internet Banking Username and Password will be mailed to you. This gives                                                                         * Preferential rates expire 6 months from the transaction date. Thereafter, it will revert to our
                                                                                                                                                                                                                                                                                                                   Credit Card(s) Presently Held:                                                                                                                     you access to your card account information online.                                                                                                               prevailing interest rate of 24% p.a. An upfront 2.5% processing fee of the approved
   Bangkok                     $9,750                               $21,667                               $26,750                              64 %                                                                                                                                                                    UOB                  Citibank                DBS                  Standard Chartered                        HSBC                               If you are an existing UOB Personal Internet Banking customer, your Credit Card account will be automatically linked to                                           transferred amount applies.
                                                                                                                                                                     Name to appear on Card (within 19 spaces)                                                                                                                                                                                                                                                        your existing username.
                                                                                                                                                                                                                                                                                                                       OCBC                 Amex                    Others, please specify                                                            None
   Hong Kong                   $24,000                              $53,333                               $32,100                              55%                                                                                                                                                                                                                                                                                                                                                                12. YOUR UOB CASHPLUS                                                                                                       YES, I would like to make the following fund transfer and enjoy
                                                                                                                                                                                                                                                                                                                                                                             4. YOUR FAMILY                                                                                                                                                                                                                                                   0% p.a.* for 6 months.
   Sydney                      $49,875                              $110,833                              $53,500                              55%                  NRIC/Passport/PR* No.                                       Nationality                           Date of Birth                                Mother’s Maiden Name (for emergency identification purposes)                                                                                                                      Yes! I want to enjoy UOB CashPlus* with a 1-year fee waiver.
                                                                                                                                                                                                                                                                      Day      Mth                 Yr                                                                                                                                                                                            CashPlus offers a credit limit of up to S$100,000 or twice your monthly income,
   Dollars in SGD. Other credit cards represent most credit cards with the basic tier of reward points earn rate. Other travel cards refer to cards linked to one
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 whichever is lower.
   or limited carriers. The card spend is computed based on estimated airfares for illustration purposes only and are valid at the time of printing.                 Highest Educational Qualification                          Race                                  Marital Status                Sex            Spouse’s Name as in NRIC/Passport/PR*                                                        NRIC/Passport/PR* No.                                    Cash when you need it
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        *Approval is subject to the bank’s discretion. Eligibility: • Principal cardholders only • Citizens or permanent residents of Singapore                       Account Name (as in your other bank’s account)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Aged between 21 to 55 • Minimum annual income of $30,000 • Documents required are copies of latest income documents
                                                                                                                                                                                                                                                                                                                   Name of Relative or Friend not staying with you                          Relationship                        Tel                                     (computerized payslip, past 6 months CPF statements or Notice of Assessment) & copy of NRIC (both sides) • For new UOB CashPlus
Most Flexible Rewards                                                                                                                                                Local Home Address                                                                                                                                                                                                                                                                                 customer only. Not applicable for any other promotion.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           No, I do not want to enjoy UOB CashPlus. (Tick here if you do not want to enjoy CashPlus)                                                                  Name of Bank

Dream holidays will always be at your fingertips with unique online travel rewards.                                                                                                                                                                                                                                                                                5. CARD PIN REQUEST                                                                                 13. DECLARATION OF APPLICANT(S) (IMPORTANT: PLEASE READ BEFORE SIGNING)
                                                                                                                                                                                                                                                                                                                     Yes, I would like to request a Card PIN which will allow me to obtain cash advances from ATMs locally
Visit and be instantly empowered with a choice of over 100                                                                                                                                               Postal Code             S                                                  and worldwide with my Credit Card.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. I/we hereby agree and represent to the Bank that:-
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (a) the particulars and information furnished by me/us herein and in all documents are true and accurate. The Bank is hereby irrevocably
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Credit Card / Bank Account No.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          and unconditionally authorised by me/us to contact any person to obtain and/or verify any information required by the Bank, to retain
airlines, no blackout periods and easy redemption. What’s more, you don’t have to wait for a full                                                                    Tel                                                Mobile                                        No. of Dependents                                                               6. UOB GROUP ACCOUNT LINKAGE                                                                                        all documents submitted by me/us, and to disclose all such information relating to me/us or the Card(s) account(s) to any person
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          as you deem fit including but without limitation the Consumer Credit Bureau. I/we undertake that in the event any information becomes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          inaccurate or misleading or changed in any way whether before this application is approved or whilst the Facility is outstanding, I/we                      Transfer Amount (Min S$500, rounded to nearest dollar)
                                                                                                                                                                                                                                                                                                                      Yes, I would like to access my UOB Group account(s), including NETS payments with my Credit Card.
redemption to enjoy your rewards. Simply top up partial redemptions with cash and travel sooner.                                                                     E-Mail Address
                                                                                                                                                                                                                                                                                                                   UOB Current Account No.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          shall promptly notify the Bank of any such changes; and
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (b) at the time of this application, I/we am/are not an undischarged bankrupt and there has been no statutory demand served on me/us
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          nor legal proceedings commenced against me/us; and
                                                                                                                                                                     Residential Status:           Owned           Mortgaged          Parent’s          Rental          S$                       per month                                                                                                                                                            2. I/we consent and authorise the Bank to communicate with me/us with respect to this application by electronic mail or any other
                                                                                                                                                                                                                                                                                                                   UOB Savings Account No.                                                                                                                                means the Bank may deem appropriate at my/our address set out in this application. Without prejudice to the aforesaid, I/we authorise                       UOB Fund Transfer Terms and Conditions
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          you to send the Card(s), personal identification number, all statements of account, and other communications to the Principal Card                          1.  Each application is subject to a minimum sum of S$500 (or such other amounts which the Bank may determine at its
                                                         Bangkok                        Hong Kong            Tokyo                          London                   Residential Type:             HDB-3Rm/4Rm                 HDB-5Rm/Executive Apartment                      Executive Condo/HUDC                                                                                                                                                                      applicant by ordinary mail at his sole risk or allow the same to be collected by the Principal Card applicant                                                   absolute discretion). No cancellation nor change of transfer amount will be allowed after submission of application.
                                                                                                                                                                                                                                                                                                                                                     7. FREQUENT FLYER REGISTRATION                                                                                   3. In respect of the Card:                                                                                                                                      2.  The fund transfer facility is open only to Principal Cardmembers.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      a) I/we request you to issue the Card(s) applied for by me/us and to continue to renew and replace it/them until such time as the Card                          3.  Should the amount you requested for transfer exceed the available credit limit on your Account at the time of this
     Airfares                                             $130                            $320               $420                           $850                                                   Private Apartment/Condominium                      Terrace         Semi-Detached                Bungalow          Yes, please link my UOB Credit Card account to my Frequent Flyer membership for future                                                               account(s) are terminated; and                                                                                                                                  application, the approved amount to be transferred will be determined by us at our sole discretion and our decision is
                                                                                                                                                                                                                                                                                                                   conversion of UNI$ to Frequent Flyer miles.                                                                                                        b) I/we agree that the Principal Cardmember is responsible for all liabilities (including liabilities incurred by all Supplementary Cards,                          final.
                                                                                             Partial Redemption                                                      Years Of Residence                                                                         Months There                                                                                                                                                                                              annual fees or any other fees/charges) and each Supplementary Cardmember is responsible for his/her liabilities incurred in respect                         4. UOB will not accept any fund transfer requests to other Credit Card or Line of Credit is held with the Bank or in a foreign
                                                                                                                                                                                                                                                                                                                   My KrisFlyer Membership No.                                                                                                                            of his/her Card;
     Spend on                                             $5,000                          $10,000            $10,000                        $20,000                  Bill To:     Home           Office                  Employment Pass Expiry Date
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      c) I/we agree that approval of this application is at the Bank's sole discretion, and the Bank is entitled to reject the application without
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          assigning reason or notice to me/us; and
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      5. UOB may, on its approval of each fund transfer application, open an account in the name of the Principal Cardmember
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          and debit the approved fund transfer amount to this account.
     UOB Visa Signature Card                                                                                                                                                                                                                                                                                       My Asia Miles Membership No.                                                                                                                       d) I/we understand that the Terms and Conditions of the UOB Cardmember Agreement, will be sent with the Card(s) and I/we agree                                  6. You shall continue to make payment until your specific account has been credited. UOB bears no responsibility for any
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          to be bound by such Terms and Conditions upon receipt or acceptance of or signing on or use of the Card(s) unless you have                                      overdue payment or interest incurred.
     Travel cash earned                                   $66                               $133                      $133                   $266                                                                  2. YOUR WORKPLACE                                                                               A S$10 conversion fee will be charged to your Card for each conversion of UNI$ to frequent flyer miles.                                                received my/our return of the Card(s) cut into two half.                                                                                                    7. Fund transfer amounts are not eligible for UNI$, SMART$, CashRewards, KrisFlyer and Asia Miles.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      e) I agree to abide by all terms and conditions governing the SWELL Rewards Network                                                                             8. The preferential interest rate is applicable only to the amount transferred and not to existing outstanding balances or
     Cash top-up                                          $64                               $187                      $287                   $584                    Name of Employer/Business*                                                                            Tick here if self-employed                                  8. SWELL-THE REWARDS NETWORK REGISTRATION                                                                                      4. Where I have applied for the UOB CashPlus Facility, I hereby unconditionally agree to be bound by the following terms and                                        amounts subsequently incurred on your Account.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          conditions/agreement:                                                                                                                                       9. Interest rate shall revert to the bank’s non promotional rates should the Cardmember be in default of any of his/her
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (a) Terms and Conditions Governing UOB CashPlus                                                                                                                 obligations to the bank.
                                                                                                                                                                                                                                                                                                                      Yes, I would like to link my following account to the SWELL Rewards Network.
     Savings                                               51%                              42%                       32%                    31%                     Office Address
                                                                                                                                                                                                                                                                                                                    Shell Card/Escape Card No. (Only principal and non-corporate)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (b) Terms and Conditions Governing Accounts and Services
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (c) Additional Terms and Conditions Governing Accounts and Services
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      10. By participating in this fund transfer promotion, you agree to be liable for the total fund transfer amount and interest
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          charges due. Upon fund transfer account cancellation, you will be liable for the full outstanding amount.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (d) Terms and Conditions of UOB Personal Internet Banking Access                                                                                            11. The terms and conditions contained herein are in addition to the UOB Cardmember Agreement, which shall continue to
     Dollars in SGD. Illustrations are based on estimated airfares valid at time of printing.                                                                                                                                                                                                                        7 0      2    7    8    7                                                                                                                           I understand that: the copies of the terms and conditions numbered 4(a) to 4(c) above are available for my inspection at any UOB                                 apply.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         branch; that copies thereof will be sent to me upon Bank's approval of my application; and that I may view the agreement numbered                            12. UOB reserves the right to reject any fund transfer request and/or approve only part of the amount requested for fund
You can also choose to convert your rewards into immediate cash rebates off travel purchases at UOB                                                                                                                                    Postal Code              S                                                                                                       9. CREDITSHIELD                                                                                  4(d) above on the Bank’s website at I agree that upon my receipt or acceptance or signing on or use of the
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         UOB CashPlus facility unless the Bank has received my return of the UOB ATM Card cut into half, will constitute my/our agreement
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          transfer(s) without assigning any reason or whatsoever, and to amend, add or vary any of these Terms and Conditions
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          at any time and at our absolute discretion.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         to be bound by all Terms and Conditions/Agreement stated in this paragraph 4. In the event that my UOB CashPlus account is closed                            13. The Bank’s decision on all matters relating to the Promotion shall be at its absolute discretion and shall be final and binding
                                                                                                                                                                     Type of Business (please tick one)                                                                                                               Yes, I wish to enrol in UOB CreditShield for just S$0.23 a month for every S$100 (or any part thereof) in                                                                                                                                                                                                           on the Applicant.
Travel Planners. If your prefer indulging in something other than travel, you can always use your reward                                                             PUBSV      Government        RTAIL        Retail Trade             BUSSV      Engineering                  FINAN        Financial Services
                                                                                                                                                                                                                                                                                                                      my monthly outstanding UOB Credit Card balance. No premium will be charged if the balance is zero.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         or terminated for whatever reasons within 12 months from the date of account opening of the UOB CashPlus account, I agree that
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         the Bank is entitled to claim from me the amount equivalent to the price of any welcome gifts which the Bank has given to me upon
                                                                                                                                                                                                                                                                                                                   I declare that I am under 60 years of age and that I have not been hospitalised in the last 12 months nor suffered from any physical defects,         approval of my application. I hereby authorise the bank to debit my UOB CashPlus account for the amount equivalent to the price                              Declaration & Agreement:
points for dining, shopping, electronics or even cash.                                                                                                               TRSPT
                                                                                                                                                                                Real Estate
                                                                                                                                                                                                               Business Consultancy
                                                                                                                                                                                                               Computer & IT
                                                                                                                                                                                                                                                   Professional Services
                                                                                                                                                                                                                                                                                             Education Services
                                                                                                                                                                                                                                                                                                                   injuries or impairments, and that I am in good health. I agree to be bound by the terms and conditions of the policy to be issued. Pursuant to
                                                                                                                                                                                                                                                                                                                   Section 25(5) of the Insurance Act (Cap142), you are to disclose, fully and faithfully, all the facts as you know them or ought to know them.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         of such gifts as determined by the Bank.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      5. I/we irrevocably and unconditionally agree to be bound by the Terms & Conditions of UOB Personal Internet Banking Access.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      By signing this application, I, the Principal Cardmember:-
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (i) represent and warrant that all information provided by me in this application is true and complete;
                                                                                                                                                                                                                                                                                                                   Failure to do so may render the policy issued void.                                                                                                                                                                                                                                                                (ii) authorise UOB to conduct credit checks and verify information given in this application with any party without reference
                                                                                                                                                                     MFGRG      Manufacturing     HOTEL        Hotel
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            to me;
Exclusive Travel Privileges                                                                                                                                          Others (please indicate)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (iii) authorise UOB to pay the above named credit issuing company/bank such amount that UOB may approve; and
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (iv) acknowledge and agree that the balance transfer(s) shall be subject to the UOB Balance Transfer Terms and Conditions
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            as stated above.
                                                                                                                                                                     OP/AD       Administrative Executive          EX/ EX       Executive/ Officer/ Associate   OP/ SS        Sales Executive/ Sales Asssistant   10. SUPPLEMENTARY CARD APPLICATION
There’s no end to the travel privileges you will enjoy with the UOB Visa Signature Card. Here are some                                                               MG/DR       Director/ Managing Director       PF/ FC       Financial Controller/ Auditors TS/ TE         Technicians                                                                                                                                                                             Principal Applicant’s Signature                     Date                    Supplementary Applicant’s Signature                   Date
                                                                                                                                                                     TS/EN       Engineer/ Engineering Assistant   EX/ MK       Marketing Executive             MG/ MG        Managers
                                                                                                                                                                                                                                                                                                                    Name as in NRIC/Passport/PR* (underline surname)                                Mr       Ms       Mrs        Mdm          Dr
that await you when you sign up.                                                                                                                                     TS/EU       Teacher/ Principal                PF/ PF       Licensed Professional           SE/ SD        Self Employed Directors/
                                                                                                                                                                                                                                                                              Sole Proprietor/ Partners                                                                                                                                                                                                                       FOR BANK USE
                                                                                                                                                                                                                                                                                                                    Name to appear on Card (within 19 spaces)                                                                                                         Remark
                                                                                                                                                                     Others (please indicate)
 • Complimentary Business Class upgrades on Northwest Airlines1 to USA and Canada                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       50005                              Principal Cardmember’s Signature (as per bank’s record)                 Date
                                                                                                                                                                     Contact No.                                                                                         Years There                                                                                                                                                                                  Bankwide CIF Number                                                                    Country Code              Identity Type
 • Up to 60% off on Business Class airfares on Cathay Pacific, Swiss Air, Garuda, China Airlines                                                                                                                                                                                                                   NRIC/Passport/PR* No.                                        Nationality                            Date of Birth
                                                                                                                                                                                                                                                                                                                                                                                                                       Day       Mth                Yr
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        FOR BANK USE
   and Asiana2                                                                                                                                                       Basic Monthly Income                                       Annual Gross Income                        Other Income
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Credit Limit                 Census                         Billing Cycle              Industrial Code           Occupation Code
                                                                                                                                                                                                                                                                                                                   Home Address
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Type of Residence            Branch Staff Code                                         Freend                    Card Fee Date
 • 1-for-1 airfares on ANA, Eva Air and Northwest Airlines3                                                                                                          Source(s) and Amount(s) of Any Other Income                                            Online CPF-Statement Submission
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Bankwide CIF                                                                  Country Code            Block Code

 • Up to 50% off at Banyan Tree hotels and resorts                                                                                                                                                                                                              Yes                     No
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Review Code                  Monitor Code                   Expiry Date                Card Type                 Officer Code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Card Credit Limit        BT App Amt                   POT                     Interest Rate           Billing Cycle

                                                                                                                                                                     If Current Employment is less than 3 years, please fill up this portion:                                                                                                                                                                                                                         Approval Code                                               CreditShield               Officer Name              Approval Name
 • Personal Travel Concierge service and exciting discounts at UOB Travel Planners

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Type of Residence        Branch Staff Code                                    Freend                  Cd Fee Date
                                                                                                                                                                     Name of Previous Employer
                                                                                                                                                                                                                                                                                                                    Tel                                         Mobile                                        Sex                     Race
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    * Please delete where appropriate.                                                                                                                                Review Code              Monitor Code                 Expiry Date             Card Type BT            Officer Code
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The provision of this application form does not automatically indicate that United Overseas Bank Limited will accept the contents and issue a
       United Overseas Bank Limited, 480 Lorong 6 Toa Payoh, #20-01 HDB Hub East Wing, Singapore 310480.
                                                                                                                                                                     Position                                            Type of Business                                    Years There                            E-Mail Address                                                                                                                                  UOB Visa Signature Credit Card. United Overseas Bank Limited reserves the right to reject the application without assigning any reason whatsoever.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Approval Code            CreditShield                                         Officer Name            App Name
       Tel: 1800 358 1181. Fax: 6356 6266, 6253 1181.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    ** While stocks last. The Bank reserves the right to replace the dining voucher with another gift at its sole discretion without prior notification to
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    customer. Subject to merchant’s terms and conditions.
       Website:                                                                                                                                                                                                                                                                      Annual Income                                                               Relationship to Principal Applicant

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       United Overseas Bank Limited Company Reg No. 193500026Z

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