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TOTAL CARD APPLICATION FORM FOR INDIVIDUALS

Please fill out below application if you are an Individual Customer only

 

(Please write your full name as in the birth certificate)
(Enter your business address)
(Enter your mobile or landline phone number)
(Enter vehicle registration, can enter maximum 10 vehicles)
(Enter your (Taxpayer Identification Number) TIN number)
By checking the "Acceptance of Terms" button above I declare that I am legally competent to apply for the TOTAL Card and thereby accept all the terms and conditions stipulated above in this form related to submission of my application and provision of TOTAL Card once the application is approved

* Mandatory fields