BOC Credit Cards
CARD AND PERSONAL DATA
OTHER DATA
Existing Customer
YES
NO
Card Type
VISA
MASTER
Requested Card Limit
Please Select Valid Card Limit
Title
TITLE
MR.
MS.
MRS.
REV.
HON.
DR.
VEN.
Please Select Your Title
Initials
Please Enter Valid Initials
Last Name
Please Enter Valid Last Name
Full Name
Please Enter Valid Full Name
Address Line 1
Please Enter a Valid Address Line
Address Line 2
Please Enter a Valid Address Line
Address Line 3
Please Enter a Valid Address Line
NIC No
Please Enter a Valid NIC
Gender
MALE
FEMALE
Gender does not match with given NIC
Email
Please Enter a Valid Email
Country
Please Select County
Mobile Number
Please Enter a Valid Mobile Number
Mother's Maiden Name
Please Enter a Valid Name
Are You a US Person
YES
NO
Are You a Politically Exposed Person
YES
NO
Purpose of Obtaining the Card
SELECT PURPOSE
CONSUMPTION
Please Select Purpose of Obtaining the Card
Source of Earning
SELECT SOURCE OF EARNING
SALARY
MEMBER CONTRIBUTION
BUSINESS PROFITS
FAMILY REMITTANCES
COMMISION
DONATIONS
Please Select Source of Earning
NEXT
Details of Relatives
Name with Initials
Please Enter a Valid Name
Address Line 1
Please Enter a Valid Address Line
Address Line 2
Please Enter a Valid Address Line
Postal Code
Please Select Postal Code
Contact No
Please Enter a Valid Mobile Number
Relationship to Applicant
SELECT RELATIONSHIP
AUNT
BROTHER
BROTHER IN LAW
COUSIN
DAUGHTER IN LAW
FATHER
FATHER IN LAW
GRAND DAUGHTER
GRAND FATHER
GRAND MOTHER
GRAND SON
MOTHER
MOTHER IN LAW
NEPHEW
NIECE
SISTER
SISTER IN LAW
SON
SON IN LAW
UNCLE
Please Select Ralationship to Applicant
Other Details
Card Bill Date
SELECT BILL DATE
02ND OF EVERY MONTH
07TH OF EVERY MONTH
12TH OF EVERY MONTH
22ND OF EVERY MONTH
27TH OF EVERY MONTH
Please select a Valid Date
Card Statement Type
SELECT STATEMENT TYPE
E-MAIL
POSTAL MAIL
BOTH E-MAIL AND POSTAL
Please select a Valid Statement Type
Card Receiving Option
SELECT OPTION
POSTAL ADDRESS
BRANCH
Please select a Valid Option
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NEXT
CARD AND PERSONAL DATA
EMPLOYMENT DATA
OTHER DATA
Existing Customer
YES
NO
Card Type
VISA
MASTER
Requested Card Limit
Please Select Valid Card Limit
Title
TITLE
MR.
MS.
MRS.
REV.
HON.
DR.
VEN.
Please select your title
Initials
Please Enter Valid Initials
Last Name
Please Enter Valid Last Name
Full Name
Please Enter Valid Full Name
Address Line 1
Please Enter a Valid Address Line
Address Line 2
Please Enter a Valid Address Line
Address Line 3
Please Enter a Valid Address Line
NIC No
Please Enter a Valid NIC
Gender
MALE
FEMALE
Gender does not match with given NIC
Date of Birth
Please Select Valid DOB
Date of Birth does not match with given NIC
Nationality
SELECT NATIONALITY
Sri Lanka (+94)
Incorrect Nationality
Mobile Number
Please Enter a Valid Mobile Number
Email
Please Enter a Valid Email
Marital Status
SELECT MARITAL STATUS
SINGLE
MARRIED
DIVORCED
WIDOW/WIDOWER
NOT KNOWN
Please select a Valid Status
Are You a Politically Exposed Person
YES
NO
Are You a US Person
YES
NO
Source of Earning
SELECT SOURCE OF EARNINGS
SALARY
MEMBER CONTRIBUTION
BUSINESS PROFITS
FAMILY REMITTANCES
COMMISSION
DONATIONS
Please Select Source of Earning
Purpose of Obtaining the Card
SELECT PURPOSE
CONSUMPTION
Please Select Purpose of Obtaining the Card
Mother's Maiden Name
Please Enter a Valid Name
No of dependents
Please Enter a Valid Number
Educational Qualifications
SELECT QUALIFICATIONS
PRIMARY
SECONDARY
PROFESSIONAL
GRADUATE
POST GRADUATE
OTHER
Please select a Valid Value
Accommodation Details
SELECT DETAILS
OWNS
LEASE/RENT
LIVES WITH PARENTS
Please Select a Valid Value
NEXT
Employment Type
SELECT TYPE
SALARIED
PROFESSIONAL
SELF EMPLOYED
Please Select a Valid Employment Type
Current Employer Name
Please Enter a Valid Name
Employer Address Line 1
Please Enter a Valid Address Line
Employer Address Line 2
Please Enter a Valid Address Line
Employer Address Line 3
Please Enter a Valid Address Line
Contact No
Please Enter a Valid Mobile Number
Designation
Please Enter a Valid Designation
Basic Salary
Please Enter Valid Amount
No of Years at the Service
Please Enter Valid Number
Net Annual Income
Please Enter Valid Amount
Fixed Allowances
Please Enter Valid Amount
Other Allowances
Please Enter Valid Amount
Nature of the Business or Profession
Please Enter Valid Value
Invested Amount on Capital
Please Enter Valid Amount
Annual Turnover
Please Enter Valid Amount
BACK
NEXT
Details of Relatives
Name with Initials
Please Enter Valid Initials
Address Line 1
Please Enter a Valid Address Line
Address Line 2
Please Enter a Valid Address Line
Postal Code
Please Select Postal Code
Contact No
Please Enter a Valid Mobile Number
Relationship to Applicant
SELECT RELATIONSHIP
AUNT
BROTHER
BROTHER IN LAW
COUSIN
DAUGHTER IN LAW
FATHER
FATHER IN LAW
GRAND DAUGHTER
GRAND FATHER
GRAND MOTHER
GRAND SON
MOTHER
MOTHER IN LAW
NEPHEW
NIECE
SISTER
SISTER IN LAW
SON
SON IN LAW
UNCLE
Please Select Valid Relationship
Other Details
Card Bill Date
SELECT BILL DATE
02ND OF EVERY MONTH
07TH OF EVERY MONTH
12TH OF EVERY MONTH
22ND OF EVERY MONTH
27TH OF EVERY MONTH
Card Statement Type
SELECT TYPE
E-MAIL
POSTAL MAIL
BOTH E-MAIL AND POSTAL
Card Receiving Option
SELECT OPTION
POSTAL ADDRESS
BRANCH
BACK
NEXT
