Credit Card Application

Personal Information
*Name *Date of Birth
Marital Status *Nationality
*UAE Resident Yes No *Length of stay in UAE (Years)

Contact Information
P.O. Box Emirate
Tele No. (Off) Mobile
Tele No. (Resi) *Email
Fax Number    

Employment Information (Salaried individuals only)

*Name of Employer
*Length of service (in months) with current employer
*Gross fixed Salary / Month
 

Additional Information
*Enter code as shown
 
*Indicates fields required to be filled before submission
 

Please indicate the type of Credit Card you are interested in :
* Preferred Credit Card Type
RAKBANK MasterCard Titanium
nmc RAKBANK MasterCard
MasterCard Standard
Visa Classic
Visa Gold
RAKBANK Geant La Carte Credit Card
*Preferred Credit Limit
*Do you have an existing relationship with RAKBANK?
Yes No
* Do you have any Loans from other Banks within UAE?
Yes No