PROBANK A.E. - Online Card Application

PROBankPersonal BankingCardsOnline Card Application

Cards

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+30 210 48 43 100 or

+30 210 PROBANK

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Online Card Application

FORM

You may receive PROBANK Credit Cards subscription-free.

Please fill in all mandatory fields so that we can process your data. The final decision, which will be communicated to you through e-mail, depends on the accuracy of the data and the submission of the following required documents:

1. A photocopy of the identity card (both sides) of the principal and additional card holder .
2. A photocopy of the last tax certificate or recent payroll certificate of the principal card holder.

The above documents should be sent via FAX to: 210 48 37 533 or via POST to the address:
PROBANK S.A. Bank
74, Peiraios Str., Moschato, P.C.:183 46
(REF: Application for WEB PROBANK VISA)

PLEASE READ CAREFULLY

The terms and conditions of the contract, baring the title "application for PROBANK VISA ELECTRON or PROBANK VISA CLASSIC or PROBANK VISA GOLD or PROBANK VISA PLATINUM", which govern the use of those credit cards have been read and accepted. Both the applicant for the principal card as the applicants for additional cards state that we are all accountable as debtors and guarantee in full against each other, waiving all benefits that may be pertained to us, and any other objection as to the payment of any invoice related or cause to the cards. The principal card applicant also solemnly states that the data supplied in the application form are accurate and real and authorizes PROBANK S.A. and its agents to contact any third party, especially the stated employer, bank or other information sources in order to verify the validity of the data or to request additional information if needed. PROBANK S.A. reserves the right to reject the application without having to notify the applicant of this rejection and the rejection reasons. A copy of the terms and conditions of the contract will be supplied together with the cards.

Fields containing asterisk (*) are obligatory.

id
date time

1. Credit Card Selection

Please select the card that meets your needs.

2. Personal Data

Surname
Father's Name
Name
Date of Birth
Sex
ID Card No.
VAT No.
Fullname written in latin characters as it is in your passport

3. Marital Status

Marital Status
Supporting Members

4. Residential Data

Address
Postal Code
City
Telephone
Mobile Phone
Years in Current Residence
Type of Residence

5. Professional Data

Occupation
Company
Position
Adrdress
City
Postal Code
Telephone
Fax

6. Financial Data

Personal Income
Family Income

7. Spouce Data

Surname
Name
Father's Name
Occupation
ID Card No.
VAT No.

8. Fill in if you Wish an Additional Card

Surname
Name
Father's Name
Date of Birth
ID Card No.
VAT No.
Telephone
Relation

9. Automatic Payment of Monthly Invoice

I wish the automatic payment of my card invoice from my bank account in PROBANK numbered:
- Of the balance
- Of the minimum payment

10. Other Cards Held

Card Type
Card No.
Bank

11. Monthly Invoice to be Sent at

In order to protect you from unauthorized use of your card please fill in your mother's maiden name:
- Home
- Work
Please select the PROBANK branch to collect your card.
Email to receive decision regarding your application.
For more information contact any PROBANK branch and the Cards Division, 74 Peiraios Str. 183 46 Moschato, tel. 210 48 43 176, fax. 210 48 37 533