Apply for our cards
 
Applicant Personal Information
 
Mr. Mrs. Ms.
First name *
Father's name *
Family name *
Mother's full maiden name *
Place of birth *
Date of birth *
Register # and place
ID number
Nationality *
Resident *
If Male, Military service
Marital status *
Spouse's full maiden name
Spouse's date of birth
Number of children
Number of dependants *
 
Current Residential address
 
Building/Floor/Street *
City *
Home phone number *
Mobile phone number *
E-mail *
 
Home Country address
 
Building/Floor/Street
City
Home phone number
Mobile phone number
E-mail
   
Applicant Financial Information
 
Banks' accounts Information
Client at Credit Libanais, branch *
Client at bank: (name)
(branch)
Since
Type of accounts
Cardholder of (type of card)
If Other Specify
   
Card limit
  
Salary domiciliated at bank
   
Current loans
Type
Bill Amount *
  
Remaining balance
    
Loan maturity
Type of guarantee, if any
Bank, branch
   
Other Liabilities
 
Personal guarantee given in favor of
Amount
Bank, branch
   
Applicant Professional Information
 
Occupation *
Nature of business *
If Other Specify
  
Education Level *
Company name
Employed since*
Monthly income *
Other income *
Previous employer
Work address
Building/Floor/Street
Postal Code/P.O. Box
City
Work Phone Number
E-mail
 
Fixed Assets Information
 
Accommodation *
If Other Specify
  
If renting, rent amount per year *
If owned, estimated value
Type of asset
If Other Specify
  
Shared owned
Surface in sq.m
Estimated Value
 
Location
   
 
Spouse's Professional Information
 
Occupation
Nature of business
If Other Specify
  
Education Level
Employment starting date
Monthly income
 
   
Work address
 
Building/Floor/Street
City
Work Phone Number
   
 
Credit Card Applications
 
Credit Libanais preferred branch *
Card type you wish to apply for *
Cardholder’s Type * Single cardholder
  Single with additional cardholder
 
Number of additional card(s)
   
   
Account’s Currency *
Please type your name as
you want it to appear on the card *
   
   
Please note that all " * " fields are mandatory