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Credit Card Application

    Personal Details

    *Title
    *First Name
    Middle Name
    *Last Name

    *Date of Birth
    *Marital Status
    Name of Spouse

    *Preferred Branch
    *Required Limit (GY$)

    Identification Documents


    *Primary Identification Document
    Document Number
    *Issue Date
    *Country of Issue

    *Document Expiry Date

    Contact Details

    Home Phone
    *Mobile Phone
    Work Phone
    *Email

    *Residency
    *Nationality
    *Country of Birth
    *Country of Residence

    *Lot/Apt & Street
    *Village/City/Town
    *County/State
    Zip/Postal Code
    *Country

    Type of Residence
    Years at Residence

    Income/Employment Records

    *Employment/Income Details

    Employment Details
    *TIN
    *Employer
    *Occupation
    *Years Employed
    Self Employed
    *Business Name
    *Nature of Business
    *Date of Registration
    *Position
    Provider’s Name
    Provider’s Employer Name
    Provider’s Occupation

    Provider’s Net Income (GY$)
    *Provider’s Years Employed

    Monthly Income

    *Monthly Income After Tax (GY$)
    Other Income (GY$)
    Detail of Other Income

    Monthly Expenses

    Loan Repayments (GY$)
    Rent (GY$)
    Utilities (GY$)
    Living Expenses (Groceries, etc.) (GY$)
    Transportation/Vehicle/Fuel (GY$)
    Personal Care (GY$)
    Other (GY$)

    Assets

    Land (GY$)
    Home (GY$)
    Savings (GY$)
    Motor Vehicles (GY$)
    Term Deposits (GY$)
    Stocks & Shares (GY$)
    Loans Due to You (GY$)
    Other (GY$)

    Borrowings

    *Do you have any borrowings?

    Vehicles

    Bank/Institution
    Amt Borrowed (GY$)
    Current Balance (GY$)
    Monthly Repayment (GY$)

    Housing

    Bank/Institution
    Amt Borrowed (GY$)
    Current Balance (GY$)
    Monthly Repayment (GY$)

    Credit Card

    Bank/Institution
    Amt Borrowed (GY$)
    Current Balance (GY$)
    Monthly Repayment (GY$)

    Hire Purchase

    Bank/Institution
    Amt Borrowed (GY$)
    Current Balance (GY$)
    Monthly Repayment (GY$)

    Other

    Bank/Institution
    Amt Borrowed (GY$)
    Current Balance (GY$)
    Monthly Repayment (GY$)



    Upload Required Documents (jpeg/pdf files)

    *Upload Primary Identification (as selected above)
    *Upload TIN Certificate

    *Upload Recent Proof of Address
    *Upload Statement of Income/Projections/Payslip/Job Letter

    Upload Recent Loan Statement (if applicable)
    Upload Recent Hire Purchase Receipts/Statements (if applicable)

    Upload Bank Statement for Last 2 Months (if you have accounts outside of Demerara Bank)


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