Complete details and provide notes if necessary.
NEW CARD APPLICATION
Stop Card Service
A. I acknowledge that I have read and understood the PMB Card Services Terms and Conditions obtained from a PMB Branch and by executing this document, I agree and am bound by the PMB Electronic Banking Terms and Conditions in my use of the PMB Card Facility.
B. I also acknowledged and the service provided by the Bank and my obligations under this agreement, in respect of the accounts nominated in this agreement are subject to the terms and conditions governing those accounts.
C. I acknowledge that my first use of the PMB Card Facility will indicate my acceptance of those PMB Electronic Terms and Conditions.
CONDITION OF ISSUE/REISUE
I/we request that the Bank issue me/us a new Pipols Card to access the account/s nominated above by the use of a Card and Personal Identification Number (PIN) in an Electronic Banking Terminal, I/we acknowledge receipt of the banks current Electronic Banking condition of use of which I/we have read, understood and here by accept and agree to be bound to the stated conditions details therein and as amended from time to time in the future. Client Primary Signature: Date: Directors Signature: Date: seal Joint Signature: Date: Secretary’s Signature: Date: