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Credit Card Preliminary Request Form

Type of Card
VISA Gold  VISA Classic  MasterCard Classic
MasterCard for Personal Accounts  In-site Virtual Card  Supplementary
 
Are you an existing HSBC Bank Egypt customer?  Yes    No
If Yes, please mention branch of Account 
If No, please mention preferred branch 
 
First Name
Last Name
Preferred Contact Number
(Please enter country code + area code + number)
(e.g. 202 1234567)
Secondary Contact Number
(Please enter country code + area code + number)
(e.g. 202 1234568)
E-mail Address
Job/Profession
Monthly Income 
Company Name
Convenient time to contact you  
 
I confirm that I have read the Website Terms and Conditions
*Processing this request is subsequent to contacting you. Approval is subject to the Bank's Terms and Conditions