Credit Card Application Form

Credit Card Application Form

Please fill in the below form and click submit OR download the PDF file by clicking HERE and submit it to the nearest branch

Primary Card (Please fill in all applicable)
Card Choices
Name on Card
Delivery
Personal Details
QID Please enter a valid Passport No
Telephone Telephone 2
Mobile Number E-mail ID
Promo Code
Payment Percentage
I will make a default payment of
By way of
Your Other Bank Account Number
SUPPLEMENTARY CARD - 1 I request Commercial Bank to issue 1st Supplementary card for details as given below
SUPPLEMENTARY CARD - 2 I request Commercial Bank to issue 2nd Supplementary card for details as given below

Attachment
Please attach QID/passport copy of the Credit Card applicant
   


Verification Code


Enter the Verification Code displayed in the above image  

Declaration
I hereby apply for the credit card(s) issued by Commercial Bank. I declare that the information provided in this credit card application is true and correct and I undertake to promptly advise Commercial Bank of any changes thereto. I accept that Commercial Bank is entitled, in its absolute discretion, to accept or reject this credit card application without assigning any reason whatsoever and that this credit card application and its supporting documents shall become a part of Commercial Banks records and shall not be returned to me. I further agree and acknowledge that Commercial Bank may enroll me in the credit shield plus insurance program and engage external service providers to undertake data entry and processing in relation to my credit card application and may share information with such external service providers for the purpose of providing value added services. I agree that I may be contacted by phone, mobile phone, SMS, email or any other channel of communication for any communications from Commercial Bank or cross sell activities and promotion which Commercial Bank undertakes from time to time.
I confirm that I have downloaded, read, understood and agree to be bound by (and any use of the Commercial Bank credit card(s) shall be deemed to be acceptance of) the credit card Terms and Conditions found on www.cbq.qa and I undertake to periodically review the credit card Terms and Conditions found on www.cbq.qa and any amendments made thereto.



   

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