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|  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Government ID: Driver’s License, Passport, National ID, Tax ID: TRN, SSN, TIN, EIN, NI, TIN |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| I am applying for: GOLD\u003Cbr>\u003Cbr>PLATINUM |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | VMBS Account \\#: |  |  |  |  |  |  |  |\n| GENERAL INFORMATION |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Mr. |  | Mrs.  Ms. |  |  |  | Miss.\u003Cbr>\u003Cbr>Dr. |  |  |  |  |  |  | Hon . |  |  |  |  |  |  |  | Prof. |  |  |  |  |  |  | |  |  |  |  |  |  |  |\n| Name: |  |  | First: |  |  |  |  |  |  |  | Middle Initials: |  |  |  |  |  |  |  |  |  |  |  | Surname: |  |  |  |  |  |  |  |  |  |  |  | Maiden: |\n| Date of Birth (dd/mm/yyyy) |  |  |  |  |  |  |  |  |  |  | Gender: Male |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Female |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Marital Status: Married |  |  |  |  |  |  |  |  | Single |  |  |  |  |  |  | Divorced |  |  |  |  |  |  |  |  |  |  | Other: |  |  |  |  |  |  |  |  |\n| Mother’s Maiden Name: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Politically Exposed Person (PEP): Yes |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | No |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Mailing Address: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Email Address: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Telephone Number: |  |  |  |  | Home |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Cell |  |  |  |  |  |  |  |\n| ID Type: Driver’s License |  |  |  |  |  |  |  |  | Passport |  |  |  |  |  |  |  | National ID |  |  |  |  |  |  |  |  |  |  |  | Other: |  |  |  |  |  |  |\n| Identification Number: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Country Issued: |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Tax ID Type: TRN  SSN  TIN  EIN  NI  ITIN \u003Cbr>Tax ID Number:\u003Cbr>Country Issued: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Current Home Address:\u003Cbr>(Apartment \\#, Street \\# and Street Name) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| District/Town/City: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Parish/State: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Country: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Zip Code: |\n| Employment Status: Full-Time |  |  |  |  |  |  |  |  |  | Part-Time\u003Cbr>\u003Cbr>Self-Employed |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Other |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Occupation: |  |  |  |  |  |  |  |  |  |  | Job Title: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Gross Monthly Income: |  |  |  |\n| Employer’s Name: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Employer’s Address:\u003Cbr>(Street \\# and Stree","cbCaim5N6oHzmg69","https://ap.wps.com/l/cbCaim5N6oHzmg69","pdf",272885,"English","# Pre-Approved Credit Card Application Form\n## General Information\n## Card Issuance Information\n## Terms and Conditions","[{\"question\":\"What information is required to submit the application?\",\"answer\":\"The form requests government ID details, personal and contact information, mailing and current addresses, employment status and occupation data, and identification/tax information.\"},{\"question\":\"How are Gold and Platinum credit cards handled in the form?\",\"answer\":\"The form includes a section to indicate the card type applied for, with options shown as Gold and Platinum.\"},{\"question\":\"What do the terms and conditions authorize VMBS to do?\",\"answer\":\"By signing, the applicant confirms information accuracy and authorizes VMBS to verify submitted details, conduct credit bureau checks (including charging associated fees), and share provided information with partners within the VM Group as described.\"}]","Pre-Approved Credit Card Application Form - Fillable | PDF",1789823107]