I confirm that I have read, understood and agree to be bound by the terms and conditions stated below:

• I, the Principal Applicant hereby request United Overseas Bank (Malaysia) Bhd (“the Bank”) to issue UOB Visa Card(s) and/or MasterCard(s) to me. 
• I agree to be bound by the terms & conditions on the issuance and usage of the credit card(s) under the UOB Visa/MasterCard Cardmember Agreement (“Cardmember Agreement’’)(a copy of which is available for viewing at the Bank’s website). 
• I, the Principal Applicant shall be responsible for all liabilities & obligations of the Principal Applicant as well as all Supplementary Applicant(s).  
• I, warrant that all information given in this application is true, accurate and correct and I consent and authorize the Bank to verify the information provided and to obtain from any financial institution, the Director General of Inland Revenue, credit information or credit reference providers or credit reporting agencies and any other sources that Bank shall deem necessary any information which the Bank may require. 
• I hereby consent to and authorize to the Bank or the insurer to disclose from time to time any information relating to me, my account(s) or my insurance (applied for in this form) to the persons as mentioned in clause 27 of the Cardmember Agreement without further notice to me to such purpose as the Bank deems necessary or expedient in connection with the application and the said insurance, the distribution and provision of (its) product and services. 
• I acknowledge that the credit card(s) remain the property of the Bank and must be returned upon the Bank's request. 
• I consent to the linking of UOB Visa Card(s) and/or MasterCard(s) to the UOB Contact Centre phone banking services and 3D Secure OTP. 
• I have received, read and understood the contents of the product disclosure sheet. 
• I expressly consent to the mailing of the UOB Visa Card(s) and/or MasterCard(s) and UOB Credit Card Agreement to my correspondence address provided here if my application is successfully approved. Conditions apply.
• I agree and confirm that any records and information including but not limited to my signature in this application may be used for the opening of any other personal account(s) with the Bank and the application of the debit card via Personal Internet Banking and the operation of such personal account(s) and use of such debit card.

Important Note:

1. The acceptance of this form does not impose any obligation on the Bank to issue a UOB Visa/MasterCard to me. I understand that the approval of my application is at the Bank’s decision and the Bank reserves the right to reject my application without assigning any reasons.
2. As the Bank’s customer, I am aware that I may receive calls, sms and marketing collateral/information on products and services of other UOB Group companies not distributed by the Bank. In the event that I choose not to receive such calls or marketing collateral/information, I am aware that I will have to take steps to contact UOB Contact Centre 03-26128121.
3. I shall be liable to pay for any service tax (SST) or other taxes or levies which as at the date of the issuance of the credit card(s) as specified in this form or the provision of services by the Bank to me or at any date subsequent to the above, is required by law to be paid to any body or authority having jurisdiction over the Bank, in respect of any monies charged or incurred by the Bank, in addition to all other monies payable to the Bank.
4. I consent and agree that any service tax (SST) or other taxes or levies incurred by the Bank in relation to the credit card(s) as specified above by me or the provision of services by the Bank to me, shall be borne by and charged to me and in the event that the Bank shall effect payment on my behalf, I shall be liable to reimburse the Bank for such amounts paid.
5. I shall not dispute the authenticity and contents of the fax copy of this application form received by the Bank which shall be regarded as original, for all purposes including for purposes of any legal proceedings, and the said faxed copy shall be inclusive, valid and binding. Without prejudice to the foregoing, I shall retain the original signed application form at all times and produce to the Bank upon request.
6. I confirm that I have read, understood and agree to be bound by the terms and conditions in the Credit Card Product Disclosure Sheet, Privacy Notice and UOB Visa/MasterCard Cardmember Agreement.