Surname
姓 |
|
Given Name
名 |
|
HK Permanent ID Card No.
香港永久性居民身份證號碼 |
() |
Credit Card Account No
信用卡號碼 |
--- |
Requested "Credit Cash"
Amount(HK$ )
自選兌現分期金額(港幣) |
|
Requested Instalment Period
自選分期付款期 |
|
Daytime Contact Tel. No.
日間聯絡電話號碼 |
|
Please credit the approved "Credit Cash" amount to the following designed bank account:
請將已批核之兌現金額存入以下本人名下之銀行戶口內: |