FlexiMoney OD Application Form
Applicants should be permanent residents of Hong Kong, aged 18 or above with employment in Hong Kong.
You can fill in the form below, or Download the Standard Application Form in
Chinese
or
English
Version (Full Details) in PDF format. (If you have difficulties in opening them, please
click here
to download the software.)
Please read the
Terms & Conditions
,
Personal Information Collection Statement
and
Notice to Customers relating to Customers' Data
.
DEFMAAS01
OVERDRAFT FACILITY REQUESTED
Credit Limit Requested (HK$)
DEFMABS01
PERSONAL INFORMATION
English name as printed
on HKID Card :
Mr
Mrs
Ms
Former Name / Other Name :
Yes
No
(If any, please provide relevant proof)
Date of Birth :
- -
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
- -
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
/
- -
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
HKID Card No.
Passport No. :
e.g. A123456(0)
Nationality :
Marital Status :
Please Select Your Marital Status
Single
Married
Divorced
No. of Dependents :
Education Level :
Please Select Your Education Level
Post Secondary or Above
Secondary
Primary
Others
Home Address :
Flat
Floor
Block
Building / Estate
No. and Name of Street
District
H.K.
Kowloon
N.T.
My permanent address is the same as the above-mentioned Home Address
Yes
No (Please provide permanent address proof)
Year There :
Year
Month
Home Tel. No. :
Residence :
Please Select Residential Status
Quarter
Live with parents / relatives
Self-owned
Rented
Mortgage
Public Housing Estate
Mortgage Installment/
Rent Per Month :
HKD
Correspondence Address
(P.O. Box NOT accepted) :
Select Method
Home Address
Office Address
e-mail Address :
@
DEEMACS03
OCCUPATION
Self-employed :
Yes
No
(for professional only)
If you are Self-employed, please attach copy of Business Registration Certificate.
Employer's Name :
Business Address :
Flat
Floor
Block
Building / Estate
No. and Name of Street
District
H.K.
Kowloon
N.T.
Office Tel. No. :
Mobile Phone No. :
Pager No. :
Position :
Nature of Business :
Years of Service :
Year
Month
Basic Monthly Income:
HKD
Other Income Source and Amount :
HKD
DEEMADS02
ATM FACILITIES
Language for ATM Screen Instruction :
Please Select
Chinese
English
DETLAGS01
Declaration:
In connection with my application for the FlexiMoney Overdraft Facility ("the Overdraft Facility") of Dah Sing Bank ("the Bank"), I confirm and warrant that the information given herewith is true and complete, and authorize the Bank to make all necessary enquiries. I also authorize the Bank to collect and transfer my personal and credit data from and to any party (including but not limited to any credit reference agencies or financial institutions) as the Bank deems necessary for verification or to disclose, obtain from, exchange or share with any party any information of myself and/or any matters relevant to this application and the Overdraft Facility and related services at any time for the purpose of providing credit review or risk assessment. My failure in providing any of the above data to the Bank may result in this application being rejected. The Bank reserves the right to request for other documents or information and copies of documents supplied are not returnable and failure to supply may result in the Bank's rejection of my application. The acceptance of this application, the overdraft limit granted, the repayment terms and other terms in respect of the Overdraft Facility, shall be at the absolute discretion of the Bank without giving reason. I may contact the Data Protection Officer of the Bank in writing to gain access to or request correction to my personal data while the Bank reserves the right to charge me handling fee. The interest rate charged on any debit balance in the overdraft account will be provided when the Loan is approved. The interest rate and all other charges shall be subject to variation from time to time at the Bank's absolute discretion and as notified by the Bank.
I declare that no credit card or loan (secured or unsecured) under my name issued by any financial institutions has been cancelled due to default in payment, and there is no current overdue payment exceeding 10 days in respect of my loan indebtedness (including credit card and any loans) with other financial institutions. I further declare that no bankruptcy order or any kind of restructured debt repayment plan has ever been made against me and I am not in process of petitioning for bankruptcy or any kind of restructured debt repayment plan, nor have any intention so to do. In case this application form is sent by fax, the Bank shall be entitled to treat the faxed copy received as true and correct in all respects and shall be binding on me. Where any application is made by telephone, the Bank shall be entitled to treat such communication as made or fully endorsed by and binding on me.
I understand that the Bank's decision to grant the Overdraft Facility is dependent on the representations made in this Declaration or otherwise.
I agree to inform the Bank in writing if I have any relationship with any of the Bank's directors or employees.
I confirm that I have read, understood and agreed to be bound by this application form including the Terms and Conditions.
Please add a (
) in the box as appropriate.
I/We do not wish the Bank to use my/our personal data in direct marketing.
I/We do not wish the Bank to provide my/our personal data to any other persons for their use in direct marketing and, whether or not such persons are group companies of Dah Sing Financial Holdings Limited.
Please note that your above choice applies to the direct marketing of the classes of products, services and/or subjects as set out in paragraph G of the Bank's
Notice to Customers relating to Customers' Data
("Notice") made available by the Bank to you from time to time. Please also refer to the Notice on the kinds of personal data which may be used in direct marketing and the classes of persons to which your personal data may be provided for them to use in direct marketing.
In case of any discrepancy between the English and Chinese versions of this document, the English version shall prevail.
DEFMAFS01