Bonus Bucks Application Form
Please complete the form below, in order for us to customize our products to suit your needs. Thank you.
Personal Information
First Name *
Last Name *
Gender *
Email *
Phone Number *
Physical Address
Marital Status *
If married, what is your anniversary date?
MM
/
DD
/
YYYY
Number of Children *
Education Level *
Identity Number *
Nationality *
Occupation *
Role in Company *
Interests
Banking Information
What banking products do you use? *
Required
Bank cards used *
Required
Date account opened
MM
/
DD
/
YYYY
Do you use online banking on a regular basis *
Do you use mobile banking often? *
Do you prefer mobile banking to online banking? *
If you answered yes to the above, why?
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