致: MANHATTAN Card - 渣打銀行(香港) 有限公司轄下部門
To : MANHATTAN Card - a division of Standard Chartered Bank (Hong Kong) Limited
本「八達通自動增值」服務申請表可為一個或多個八達通卡或產品（「八達通」）申請「八達通自動增值」服務（「自動增值服務」）。
This application form for the Octopus Automatic Add Value Service shall be used for the application of linking one or more Octopus cards or products (collectively referred to as "Octopus") to the Octopus Automatic Add Value Service (the "AAVS").
甲部 - 信用卡主卡客戶(自動增值服務賬戶持有人)資料及申請
Section A - Principal Credit Cardholder's (AAVS Account Holder) Information & Application
請以英文輸入申請表內之資料
Please complete the application form in English
香港永久性居民身份證/ 護照的英文姓名
English Name on HK Permanent ID Card/Passport
Family Name 姓
Given Name 名
香港永久性居民身份證/ 護照號碼
HK Permanent ID Card No./Passport No.
(
)
出生日期
Date of Birth
日dd/
月mm/
年 yyyy
聯絡電話號碼
Contact Tel. No.
MANHATTAN Visa/ 萬事達信用卡號碼
MANHATTAN Visa/ MasterCard Credit Card Number
-
-
-
請選擇信用卡類別
Please select card type
MANHATTAN 信用卡 MANHATTAN Credit Card
MANHATTAN id 信用卡 MANHATTAN id Credit Card
請選擇服務
Please select service
本人欲為持有之八達通申請自動增值服務。
I wish to apply for the Automatic Add Value Service with my Octopus.
本人之八達通號碼
My Octopus Number
請填上完整的8位或9位八達通號碼。
Please fill in the completed 8- or 9-digit Octopus Number.
(
)
每次自動增值定額
My desired amount for every auto-reload transaction is
HK$150 /
HK$250 /
HK$500
本人欲為附屬卡客戶申請自動增值服務。
I wish to apply for Automatic Add Value Service for Supplementary Credit Cardholder.
乙部 – 信用卡附屬卡客戶資料及申請
Section B - Supplementary Credit Cardholder's Information and Application
請注意Please note：
1.
主卡客戶必須已經使用 / 同時申請八達通自動增值服務，方可為附屬卡客戶申請自動增值服務。
Application of Automatic Add Value Service for Supplementary Credit Cardholder is only applicable to Principal Credit Cardholder who has already enrolled / would like to apply for the Automatic Add Value Service at the same time.
2.
附屬卡戶口必須已確認及有效，方可申請自動增值服務。
To apply for the service, the Supplementary Credit Card account must have been activated and valid.
3.
如欲為額外附屬卡客戶申請此服務，請另行遞交網上登記表格。
If apply this service for additional Supplementary Credit Cardholder, please submit another online application form.
香港永久性居民身份證/ 護照的英文姓名
English Name on HK Permanent ID Card/Passport
Family Name 姓
Given Name 名
香港永久性居民身份證/ 護照號碼
HK Permanent ID Card No./Passport No.
(
)
出生日期
Date of Birth
日dd/
月mm/
年 yyyy
聯絡電話號碼
Contact Tel. No.
MANHATTAN附屬卡Visa/ 萬事達信用卡號碼
MANHATTAN Supplementary Visa/ MasterCard Credit Card Number
(如號碼與主卡相同，則
毋須
輸入 Please input if the card number is different from the Principal Card)
-
-
-
附屬卡客戶之八達通號碼
Octopus Number of Supplementary Credit Cardholder
請填上完整的8位或9位八達通號碼。
Please fill in the completed 8- or 9-digit Octopus Number.
(
)
每次自動增值定額
My desired amount for every auto-reload transaction is
HK$150 /
HK$250 /
HK$500
注意事項 ：
1.
MANHATTAN信用卡「八達通自動增值」服務適用於所有MANHATTAN信用卡主卡客戶，但不包括渣打WorldMiles卡(原名為渣打American Express®卡)、渣打JOS Visa商務白金卡、渣打公司卡及渣打Visa Signature商務卡。
2.
每次自動增值，更可獲贈「360°全面賞」積分或「現金回贈」。主卡及附屬卡客戶因自動增值服務而獲贈的「360°全面賞」積分或「現金回贈」將直接存入主卡客戶有關此項服務之MANHATTAN信用卡戶口。
3.
渣打銀行(香港)有限公司保留修訂優惠條款及細則之權利，毋須事先通知。
4.
使用「360°全面賞」積分或「現金回贈」須受「MANHATTAN積分優惠/ MANHATTAN id分數禮品集」條款及細則約束，詳情瀏覽www.manhattancard.com。
5.
首次申請自動增值服務費用全免。而轉換銀行或重新啟動自動增值功能之申請則需繳付
HK$20
不可退還手續費。有關費用由八達通卡有限公司收取，將於自動增值服務賬戶內扣除，並且不會獲發簽賬積分。
6.
如有任何有關此服務之爭議，需由八達通卡有限公司及客戶自行解決，渣打銀行(香港)有限公司慨不就此承擔任何法律責任。
7.
請詳閱有關「八達通自動增值」服務之詳細申請條款及細則。
Important Note:
1.
MANHATTAN Credit Card Principal Card customers are eligible for MANHATTAN Credit Card Octopus Automatic Add Value Service, but it is not applicable to Standard Chartered WorldMiles Card (formerly known as Standard Chartered American Express® Card), Standard Chartered JOS Visa Platinum Card, Corporate Card and Visa Signature Business Card.
2.
360° Rewards Points or CashBack will be earned for every automatic reloading. The 360° Rewards Points or CashBack earned from this service to both Principal & Supplementary Credit Cardholders shall be credited directly into the MANHATTAN Credit Card accounts of the Principal Cardholders relating to such service.
3.
Standard Chartered Bank (Hong Kong) Limited reserves the right to revise the terms and conditions of the 360° Rewards Points or CashBack reward for this service without prior notice.
4.
Use of 360° Rewards Points or CashBack is subject to the Terms and Conditions of the MANHATTAN/ MANHATTAN id 360° Rewards Points or CashBack Catalogue. For details, please visit www.manhattancard.com.
5.
There is no application fee for all first time application for the Octopus Automatic Add Value Service. For existing users of the Octopus Automatic Add Value Service, there is a non-refundable handling fee of
HK$20
charged for transferring the Octopus Automatic Add Value Service from one bank to another, or reactivation of the Octopus Automatic Add Value Service following suspension. Such fee(s) will be charged by Octopus Cards Limited to the Octopus Automatic Add Value Service Account. No Bonus Points will be credited for any of such fees.
6.
All disputes related to the service are to be resolved between Octopus Cards Limited and the customers. Standard Chartered Bank (Hong Kong) Limited will not be responsible for any related legal obligations and liabilities.
7.
For more details of the application terms and conditions for Octopus Automatic Add Value Service, please refer to the application form.
請核實您以下所輸入的資料。
Please verify the information below.
信用卡主卡客戶(自動增值服務賬戶持有人)資料
Principal Credit Cardholder's (AAVS Account Holder) Information
香港永久性居民身份證/ 護照的英文姓名
English Name on HK Permanent ID Card/Passport
香港永久性居民身份證/ 護照號碼
HK Permanent ID Card No./Passport No.
出生日期
Date of Birth
/
/
聯絡電話號碼
Contact Tel. No.
Visa/ 萬事達信用卡號碼
Visa/ MasterCard Credit Card Number
信用卡類別
Card Type
八達通自動增值資料 Detail of Octopus Automatic Add Value Service
本人之八達通號碼
My Octopus Number
每次自動增值定額
My desired amount for every auto-reload transaction is
HK$
附屬卡客戶資料 Information of Supplementary Credit Cardholder
請注意Please note：
1.
主卡客戶必須已經使用 / 同時申請八達通自動增值服務，方可為附屬卡客戶申請自動增值服務。
Application of Automatic Add Value Service for Supplementary Credit Cardholder is only applicable for Principal Credit Cardholder who has already enrolled / would like to apply for the Automatic Add Value Service at the same time.
2.
附屬卡戶口必須已確認及有效，方可申請自動增值服務。
To apply for the service, the Supplementary Credit Card account must have been activated and valid.
3.
如欲為額外附屬卡客戶申請此服務，請另行遞交網上登記表格。
If apply this service for additional Supplementary Credit Cardholder, please submit another online application form.
香港永久性居民身份證/ 護照的英文姓名
English Name on HK Permanent ID Card/Passport
香港永久性居民身份證/ 護照號碼
HK Permanent ID Card No./Passport No.
出生日期
Date of Birth
/
/
聯絡電話號碼
Contact Tel. No.
附屬卡Visa/ 萬事達信用卡號碼
Supplementary Visa/ MasterCard Credit Card Number
八達通自動增值資料 Detail of Octopus Automatic Add Value Service
附屬卡客戶之八達通號碼
Octopus Number of Supplementary Credit Cardholder
每次自動增值定額
My desired amount for every auto-reload transaction is
HK$
申請條款
Terms of Application
客戶必須拉下以下文字框以細閱「八達通自動增值」服務申請條款之全文：
Customer must scroll down the text box below to read the full version of Octopus Automatic Add Value Service Terms of Application:
請
按此
查閱以上申請條款之列印版本。
Please click
here
for the printable version of the above Terms of Application.
自動增值服務賬戶持有人及 / 或附屬卡客戶聲明
Declaration and Confirmation of AAVS Account Holder and / or Supplementary Credit Cardholder
本人/吾等聲明及確認，本申請表內提供的一切資料就本人/吾等所知所信均屬真實、準確及完全。本人/吾等並確認會就使用自動增值服務及八達通遵守本申請條款、自動增值協議（
按此查看
）及發卡條款(包括由八達通卡有限公司不時公佈之修訂)。 本人/吾等知悉及同意於本申請獲批核後，本人/吾等之個人資料將連繫至本人/吾等持有之八達通。本人/吾等如確認及遞交本申請表，即表示已細閱、明白及同意自動增值協議條款第33至40關於個人資料（私隱）條例的通知。
I / We hereby declare and confirm that all information in respect of me / us provided in this application form is true, accurate and complete to the best of my / our information, knowledge and belief. I / We also confirm that I / we have read and agreed to be bound by the Terms of Application, the AAVS Agreement (
click here
) and the Conditions of Issue (as amended by Octopus Cards Limited from time to time) in the use of the AAVS and the Octopus. I / We acknowledge and agree that upon the approval of the Automatic Add Value Service, my / our personal data provided in this application will be associated with my Octopus. By confirmation and submission of this application form, I / we agree that I / we have read, understood and agreed with the notice relating to the Personal Data (Privacy) Ordinance contained in clauses 33 to 40 of the AAVS Agreement.
作為自動增值服務賬戶持有人，本人同意為本申請表內的每項自動增值服務及申請向八達通卡有限公司繳付所有有關費用。本人授權渣打銀行(香港)有限公司("渣打香港")依照八達通卡有限公司不時給予渣打香港之指示而向八達通卡有限公司付款。本人承諾遵循渣打信用卡持卡人合約償付渣打香港。
As the AAVS Account Holder, I also agree to be liable for all fees associated with the application by all the Applicants under this Application Form in respect of the AAVS as set out herein. I authorise Standard Chartered Bank (Hong Kong) Limited ("Standard Chartered Hong Kong") to pay Octopus Cards Limited in accordance with such instructions as it may receive from Octopus Cards Limited from time to time. I promise to reimburse Standard Chartered Hong Kong subject to and in accordance with the Standard Chartered Credit Card Cardholder Agreement.
MANHATTAN Card - 渣打銀行(香港) 有限公司轄下部門
MANHATTAN Card - a division of Standard Chartered Bank (Hong Kong) Limited
© 2014 渣打銀行版權所有
Copyright ©2014 Standard Chartered Bank