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Credit card application wizard

Card parameters Statements and PIN Agreements Offer Authorisation Confirmation

Details entered in the credit card application

Personal details

Surname, name, title František Koudelka

Entity Citizen

Permanent residence address Vinohradská 123, Praha, 120 00

Birth number / date of birth 8765242/2134

Proof of identity: type, number, issue date, validity,
issued by office / state
Identification Document, 10222002, issued on 1. 1. 2001 do 1. 1. 2011,
issued by MěÚ Praha

Marital status Single

Card parameters

Card type Lady karta Personal credit card terms and conditions

Interested in the credit insurance Yes

Credit limit 250 000,00 CZK

Lump sum payment (100% instalment) No

Account from which the fees and regular instalments will be paid 51-3437560207/0100

Weekly limits ATMs 100 000,00 CZK

 shops 100 000,00 CZK

 total limit 100 000,00 CZK

Interested in the custom card design Yes

Enter e-mail address in order to obtain custom card design code name@domain.cz

Send notification upon processing the application SMS 604456789

Statements and PIN

Statement settings Electronic, monthly

Postal address Alešova, Radenín, 39120

Card PIN to be sent to the address Ulice 4321, Praha

Card PIN to be sent to the branch Ulice 4321, Praha

Agreements

SOLUS registry I agree

Agreement with provision of data to the positive SOLUS registry I agree

Agreement with provision of data to the NRKI registry I agree

Note Confirming the agreement with provision of data in the SOLUS and NRKI registers has great influence on approval for a credit card.

Notification of client agreement with data processing View document

Offer

I confirm that the above information is correct.

I agree and accept the terms and conditions of Personal Credit Card Services.

C:\Documents And Settings.\Admin...Koudelka_Frantisek_KB07.p12

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