Diamond Card - The Safe Bank

User Details

Application Type*

Username*

e-mail address*

Password*

Personal Information

Title*

Title (other)*

Nickname*

First Name*

Middle Name(s)*

Last Name(s)*

Identity / Passport / Social Security Number*

Nationality*

Date of Birth*

Marital Status

Number of dependants

Contact Details

Main Phone Number*

Alternate Phone Number (Optional)*

Fax Number*

Residential Address

Street No. / Apt / Suite

Residential Address (PO Box is not valid)

City

State / Province

Postal Code

Country

Residential Status

Mortgage / Rent (per month)

When did you move here?

Postal Address

City

State / Province

Postal Code

Country

Employment Status

Employer

Estimated Annual Income

Business Application

I am applying on behalf of my Company / Business

Yes No

Trading Name

Registered Company Name

Company Registration Number

Business Legal Structure

Business Tax ID Number (TIN)

VAT / TAX Registration Number (check if applicable)

How old is the business?

Website

Business Telephone Number

Sector / Industry

Contact Person for Business Account

Contact Person

Contact Person's email address

Contact Person's Phone Number

Primary Business Address

Business Address (PO Box is not valid)

City

State / Province

Postal Code

Country

Business' Postal Address

City

Country

Business' Financial Status

Annual Revenue

Average Monthly Expenditure

Business' Sureties

First Surety - Name

ID / Passport Number

Physical Address

Second Surety - Name

ID / Passport Number

Physical Address

Third Surety - Name

ID / Passport Number

Physical Address

Warranty of authority to apply

I hereby warrant that I am duly authorised to sign this application form for and on behalf of the company.

Consent

By checking this field I acknowledge and agree that all of the information I have provided is accurate, that I have not withheld any additional information that may affect the outcome of this application, and that providing false or inaccurate information may constitute fraud.

I give consent for Diamond Card to process my personal information, as per the Privacy Statement set out on its website.

Furthermore, I consent to receive electronic communications from Diamond Card regarding my online application, including notice of Diamond Card's decision on my application and important account opening information such as rates, fees, costs and other information relating to the services for which I am applying.

I give consent, if required, for Diamond Card to check my credit record with any credit reference agency. I also give consent for Diamond Card to provide credit reference agencies with regular updates about the conduct of my accounts, including the failure to meet the agreed terms and conditions. I agree that the credit reference agencies may, in turn, make my record and details available to other credit grantors.

I give consent, if required, for Diamond Card to carry out identity and fraud prevention checks and to share information relating to this application through the Fraud Prevention Service.

I understand that due to FICA requirements, Diamond Card will require proof of your residential address, and that Diamond Card may attempt to obtain verification of my residential address from a third party. If the third party cannot verify the address as provided, I will need to provide the required documents directly to Diamond Card.

I confirm that I have an active email address and the ability to access, view, and print PDF files.

I agree

I also agree that I have reviewed, understood and agree to the terms of this Application.

Application Form