Supplementary Cardholder’s Information Sample Clauses

Supplementary Cardholder’s Information. I/We hereby request and authorize the Bank to issue a combined supplementary credit card (subject to the General Terms and Conditions for Issuance and Use of Credit Card contained in the Contract for Credit Card Application) to the person identified below. I/We understand supplementary credit card is subject to an annual fee and other fee occurred relating to this supplementary card, the transactions made on this supplementary card will be billed on my/our statement. 1st Supplementary Card 2nd Supplementary Card Full name* Gender*  Male  Female  Male  Female Date of birth* Nationality * Name embossed on Card (same requirement as Primary Card)* ID Card/Passport* Date of Issuance* Place of Issuance* Relationship with primary Cardholder* Permanent residential address* Current residential address* Email address* Mobile number* Monthly Spending Limit *(if any)
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Supplementary Cardholder’s Information. Tick “” in the box if you OPT OUT that service: 1st Supplementary Card 2nd Supplementary Card
Supplementary Cardholder’s Information. I/We hereby request and authorize the Bank to issue a combined supplementary credit card (subject to the General Terms and Conditions for Issuance and Use of Credit Card contained in the Contract for Credit Card Application) to the person identified below. I/We understand supplementary credit card is subject to an annual fee and other fee occurred relating to this supplementary card, the transactions made on this supplementary card will be billed on my/our statement. Full name * Annual fee* 1 Gender * 1st Supplementary Card 2nd Supplementary Card  Option 1: 29,999,000 VND  Option 3: 9,999,000 VND  Option 2: 19,999,000 VND  Option 4: 600,000 VND  Male  Female  Male  Female Date of birth * - - - - Nationality * Name embossed on Card (same Requirement as Primary Card)* ID Card/Passport Card Number * Date of Issuance * - - - - Place of Issuance * Relationship with primary Cardholder * Permanent residential address * Current residential address * Email address Mobile number * Monthly Spending Limit *(if any) Card box  Black box with yellow emulsion  Red box with silver emulsion Type of Welcome gift *  Airmiles GLP code  Accor Advantage Plus card
Supplementary Cardholder’s Information. Tick “” in the box if you OPT OUT that service: 1st Supplementary Card 2nd Supplementary Card Number of Complimentary privileges:  Option 1: VIP louge - Unlimited, VIP meet: 8 bookings/year, Golf/Spa: 5 bookings/year  Option 2: VIP louge - Unlimited, VIP meet: 8 bookings/year, Golf/Spa: 2 bookings/year  Option 3: VIP louge – 6 bookings/year, VIP meet: 1 booking/year, Golf/Spa: 1 booking/year

Related to Supplementary Cardholder’s Information

  • SUPPLEMENTARY INFORMATION Paperwork Reduction Act The collection of information in this final rule has been reviewed and, pending receipt and evaluation of public comments, approved by the Office of Management and Budget (OMB) under 44 U.S.C. 3507 and assigned control number 1545-1675. The collection of information in this regulation is in Sec. 1.860E-1(c)(5)(ii). This information is required to enable the IRS to verify that a taxpayer is complying with the conditions of this regulation. The collection of information is mandatory and is required. Otherwise, the taxpayer will not receive the benefit of safe harbor treatment as provided in the regulation. The likely respondents are businesses and other for-profit institutions. Comments on the collection of information should be sent to the Office of Management and Budget, Attn: Desk Officer for the Department of the Treasury, Office of Information and Regulatory Affairs, Xxxxxxxxxx, XX, 00000, with copies to the Internal Revenue Service, Attn: IRS Reports Clearance Officer, W:CAR:MP:FP:S, Xxxxxxxxxx, XX 00000. Comments on the collection of information should be received by September 17, 2002. Comments are specifically requested concerning: Whether the collection of information is necessary for the proper performance of the functions of the Internal Revenue Service, including whether the information will have practical utility; The accuracy of the estimated burden associated with the collection of information (see below); How the quality, utility, and clarity of the information to be collected may be enhanced; How the burden of complying with the collection of information may be minimized, including through the application of automated collection techniques or other forms of information technology; and Estimates of capital or start-up costs and costs of operation, maintenance, and purchase of service to provide information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by the Office of Management and Budget. The estimated total annual reporting burden is 470 hours, based on an estimated number of respondents of 470 and an estimated average annual burden hours per respondent of one hour. Books or records relating to a collection of information must be retained as long as their contents may become material in the administration of any internal revenue law. Generally, tax returns and tax return information are confidential, as required by 26 U.S.C. 6103.

  • Client Information (2) Protected Health Information in any form including without limitation, Electronic Protected Health Information or Unsecured Protected Health Information (herein “PHI”);

  • Patient Information Each Party agrees to abide by all laws, rules, regulations, and orders of all applicable supranational, national, federal, state, provincial, and local governmental entities concerning the confidentiality or protection of patient identifiable information and/or patients’ protected health information, as defined by any other applicable legislation in the course of their performance under this Agreement.

  • Verizon OSS Information 8.5.1 Subject to the provisions of this Section 8, in accordance with, but only to the extent required by, Applicable Law, Verizon grants to CBB a non-exclusive license to use Verizon OSS Information.

  • HOW WE MAY USE YOUR PERSONAL INFORMATION 8.1 We will use the personal information You provide to Us to:

  • Access to Protected Health Information 7.1 To the extent Covered Entity determines that Protected Health Information is maintained by Business Associate or its agents or Subcontractors in a Designated Record Set, Business Associate shall, within two (2) business days after receipt of a request from Covered Entity, make the Protected Health Information specified by Covered Entity available to the Individual(s) identified by Covered Entity as being entitled to access and shall provide such Individuals(s) or other person(s) designated by Covered Entity with a copy the specified Protected Health Information, in order for Covered Entity to meet the requirements of 45 C.F.R. § 164.524.

  • Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

  • Exclusions from Confidential Information Receiving Party's obligations under this Agreement do not extend to information that is: (a) publicly known at the time of disclosure or subsequently becomes publicly known through no fault of the Receiving Party; (b) discovered or created by the Receiving Party before disclosure by Disclosing Party; (c) learned by the Receiving Party through legitimate means other than from the Disclosing Party or Disclosing Party's representatives; or (d) is disclosed by Receiving Party with Disclosing Party's prior written approval.

  • Safeguarding Information Not to use or disclose any information concerning a recipient of services under this contract for any purpose not in conformity with state and federal law except upon written consent of the recipient, or the responsible parent or guardian when authorized by law.

  • Disclosure of Account Information to Third Parties It is our general policy to treat your account information as confidential. However, we will disclose information to third parties about your account or the transactions you make in the following situations pursuant to our Privacy Policy (as further described in Section 10 (Your Privacy) of the General Terms), in addition to the circumstances set forth in Section 20 of the General Terms (Information Authorization):

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