Applied for
I am applying for a:
VISA Card
MasterCard
My choice is:
Maestro
Visa Electron
Important information
Fill in the application and submit along with the following:
a) Photograph (one copy)
b) Copy of TIN certificate
c) Copy of Passport (Page 1 to 6 and renewal page) and National ID
Applied for: VISA Electron Card Maestro Card
Customer Name
Emboss Name
As you want to see on the Card (Max 19 Characters)
Mailing Address
(Res./Office)
Phone (Business)
Mobile (Business)
E-mail
Contact Information
Date of Birth
(DD/MM/YYYY)
Customer ID
Primary Account
Type RFCD ERQ FC
Type RFCD ERQ FC
Secondary Account
Account Information for Linkage
Signature Verified by Branch
(With PA number & Seal)
Customer’s Signature
Phone (Home)
Mobile (Home)
Home Branch
"TERMS AND CONDITIONS"
The applicant acknowledges to have already agreed to the terms and conditions related to
International Debit Card Operations of Dutch-Bangla Bank Limited as recorded
hereinafter:
1. Only ERQ/RFCD/FC account holders of Dutch-Bangla Bank Limited can apply
for International Visa/ MasterCard Debit Card.
2. In these Terms and Conditions-
a‘Bank’ means Dutch-Bangla Bank Limited (DBBL) and its successors and
assigns.
b‘Account’ means ERQ/RFCD/FC account maintained by the Bank.
c‘Account Holder’ means the person validly holding the said account.
d‘Visa/MasterCard Acquirers’ mean, any bank or financial institution which is
licensed by Visa/MasterCard to conclude agreements with merchants to accept
Visa/MasterCard cards of all description.
e‘Card’ means valid DBBL International Debit Card issued to above account
holder to avail of services and/or to purchase and/or to draw Cash Facilities by
properly presenting the same at the Bank or other Visa/MasterCard authorized
acquirers’ ATM and or POS terminal.
f‘Cardholder’ means to whom card has been issued.
g‘Customer’ means the Cardholder stated above.
h‘Agreement’ means an account maintained by the Bank in the name of the
Cardholder or it’s company (in case of ERQ a/c).
i‘Designated Account’ means the accounts which are connected (not more than
two) to the card with prior consent of the card holder.
3.
a All transactions initiated by the Cardholder, whether electronically or
otherwise, using the Card will be debited from the Designated Account
b The Bank shall debit the Designated Account for the amount withdrawn from
any of the Automated Teller Machine (ATM) or Point of Sale (POS) transactions
for goods and services obtained from VISA/MasterCard authorized merchants and
ATMs outside Bangladesh by the use of the Card. The Bank records generated
electronically or otherwise, shall be deemed to be conclusive proof of the
correctness of the transactions.
c In consideration of issuing the cards, the cardholder undertakes to indemnify
the bank against all losses, claims, actions proceedings demands, damages, costs
and expenses incurred or sustained by the Bank, of whatever nature and howsoever
arising, out of or in connection with the issuance /use of the card, provided only
that the bank acts in good faith.
d The bank shall have the right to charge the customer any fee for issuance and
use of the card on a monthly/quarterly/yearly basis as may be decided by the bank.
4. The Bank reserves the exclusive discretion to limit the total cash withdrawal or
goods and services purchased at Visa/MasterCard authorized merchants by the
Cardholder during a 24 hours period.
5. The Card shall at all times, remains the property of the Bank and the Bank may in
its sole discretion and without giving any reason may withdraw the Card or the
services thereby offered or any part of such services at any time without any prior
notice, whereby the Cardholder will become responsible for returning the Card at
once as per request from the Bank.
6. The Card and PIN are issued to the Cardholder entirely at the Cardholder’s risk and
the Bank shall bear no liability whatsoever for any loss, financial or otherwise, or
damage whatsoever caused from this issue. The Bank shall not be responsible for
any losses or damages or expenses whatsoever arising whether directly or
indirectly as a result of any transaction made with the Card and shall be
indemnified by the Cardholder, against any such loss or damage.
7. The Cardholder shall not disclose the PIN to any one. The Cardholder will be liable
to the Bank for any and all transactions made by the use of the Card and hereby
agrees to indemnify the Bank for any losses or damages howsoever caused by any
unauthorized use of Card or PIN, unless the Bank has received notice in writing of
any loss, damage or theft of the Card or disclosure of the PIN prior to any
unauthorized use of the Card or PIN for this purpose, provided that, the use of the
Card by a person who obtained possession of the Card from the Cardholder
constitutes authorized use of the Card, whether done with or without any consent of
the cardholder.
8. The Bank shall debit the Designated Account for all related charges with respect to
the Card and the use there of and the charges as may be announced, from time to
time, by the Bank or other Visa/MasterCard authorized acquirer as the case may be,
including charges for any replacement of the Card.
Please see overleaf