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 *
Your answer
Last Name *
Your answer
Gender *
Email *
Your answer
Phone Number *
Your answer
Physical Address
Your answer
Marital Status *
Number of Children *
Education Level *
Identity Number *
Your answer
Nationality *
Your answer
Occupation *
Your answer
Role in Company *
Interests *
Required
Banking Information
Bank cards used *
Required
Date account opened *
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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?
Your answer
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