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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
Please Select
Salaried
Self Employed
Professional
Monthly Income
Please Select
Below EGP 1,000
EGP 1,000 to EGP 3,000
EGP 3,000 to EGP 5,000
Above EGP 5,000
Company Name
Convenient time to contact you
Between
9 AM
10 AM
11 AM
12 Noon
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
and
10 AM
11 AM
12 Noon
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
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
HSBC Bank Egypt S.A.E © 2007 - 08