BUSIN

ESS REPLY SERVIC

EPERM

IT NO

. 02051

UN

ITED O

VERSEA

S BAN

K LIMITED

UO

B CARD

CENTRE

ROBIN

SON

ROA

D P.O

. BOX 1688

SING

APO

RE 903338

Postage will be

paid byaddressee.

For posting inSingapore only.

Have you

signed the application form

?

fi lled in ALL fi elds in the

application form?

attached A

LL the required docum

ents?

Reminder!

Men don’t get itUOB Lady’s Debit Card.

1 Visit uob.com.sg/atms for details.2 Worldwide coverage for online purchases up to USD200. Visit UOBLadys.com/sg for details.3 Please ensure that your mobile phone number is updated with us. You will receive an SMS alert when your UOB Lady’s Debit

Card transaction amount is at or above the threshold amount set.4 The Cardmember who notifi es the Bank that her Card has been lost, stolen or PIN disclosed, shall not be liable for any Card

transactions eff ected after the Bank has received notifi cation of such loss, theft or disclosure. Please refer to the UOB Debit Cardmember Agreement for more details.

Enjoy these exclusive benefi ts with your UOB Lady’s Debit Card.

How it works

SMART$

Charge purchasesto your UOB Lady's Debit Card at any SMART$ merchant

Earn SMART$ rebate (1 SMART$ = S$1)

Use earned SMART$ to offset your

purchase at any SMART$ merchant

Terms and conditions apply. Visit uob.com.sg/smart for the full list of merchants.

and more

Earn RebateEarn up to 10% SMART$ rebate at over 300 participating outlets islandwide,with no minimum spend required.

Card PrivilegesEnjoy UOB Card promotions for every occasion:

• 1-for-1 dining off ers, exclusive discounts on shopping, groceries, beauty & wellness and more.

• No service fee1 when you withdraw cash regionally at UOB ATMs in Malaysia, Indonesia and Thailand.

Visit uob.com.sg/promo for more deals and full details.

Enhanced security• Safeguard your online purchases of up to USD200 with e-Commerce Protection2.

• Get notifi ed when transactions are made with SMS alerts3.

• Protection against card transactions eff ected after you notify the Bank of lost or stolen card4.

Visit UOBLadys.com/sg for full details.

Contactless ConveniencePAY WITH JUST A TAPMake everyday purchases with just a tap via Mastercard® Contactless, or through your mobile phone via Apple Pay, Samsung Pay and Google Pay.Visit uob.com.sg/ebanking for details.

WITHDRAW CASH WITH JUST ONE TAPWithdraw cash easily and quickly with a tap of your phone at our UOB Near Field Communication (NFC) contactless Automated Teller Machine (ATM).Visit uob.com.sg/atms for full details.

TAP, PAY AND RIDENo more top-ups required with SimplyGo! Just tap to pay for public bus and train rides directly with your UOB Lady’s Debit Card.Visit uob.com.sg/transit for details.

With UOB Lady’s Card, you also enjoy• Acceptance at over 30 million Mastercard merchants globally, including online

shopping, mail and phone order.• Convenience of NETS to pay for purchases at over 14,000 outlets.• Global ATM access on the Mastercard Network.• Access to over 1,200 ATMs in Singapore5.

@mendontgetit: Follow us on Instagram for your daily dose of #LadysLogic, style inspiration, and the latest privileges.

5 Includes OCBC ATMs under the Shared ATM Network.

General Information6

Debit Card Transaction Limits7

Product Fees

ATM (Singapore) S$3,000

NETS S$2,000

Mastercard Transactions8 S$2,000

Default Daily Limit

UOB Lady’s Debit Card Annual FeeS$18Waived with 12 Mastercardtransactions annually.

Overseas ATM cashwithdrawal fee for non-UOB ATMs

S$5 per transaction

For general Debit Card fees and charges, visit uob.com.sg/debit/fees.

6 The information stated above serves as a consumer guide only. Please refer to UOB Debit Cardmember Agreement for details. 7 Please note that the Debit Card limits are still subjected to the retail bank balance in the respective linked UOB retail accounts.

The Debit Card limits for overseas ATM withdrawals may vary. The Bank may set a Debit Card limit with respect to the use of the Card and may vary the Card limit without notice.

8 If you wish to change your daily Mastercard limit, download the ‘UOB Debit Card Daily/Monthly Limit Form’ at uob.com.sg

Website: uob.com.sg

Via PIB/MBK:• View balance: if you do not currently have PIB/MBK access, a PIB/MBK username and password will be issued to you.• Limited access (SMS-OTP): if you already have PIB/MBK access via SMS-OTP (One-Time Password) or; if you provide a mobile

phone number in this application form.• Full access (SecurePlus token): if you already have PIB/MBK access via SecurePlus token or; if you apply for a SecurePlus

token by completing the Two-Factor Authentication (2FA) Registration/Update Form available at uob.com.sg.

Note: Debit Card Security Alerts and SMS-OTPs to authenticate instructions will be sent to your mobile phone number.

DECLARATION OF APPLICANTUOB Debit Cards Declaration (DC-V6.0-31082017)I hereby:1. represent and warrant:-

a. that all information provided by me in this application and in any other document submitted to you is true, accurate and complete and if there is a change in the information provided or becomes inaccurate in any way, I shall promptly notify you of the change or inaccuracy; and

b. that I have provided full and complete information in relation to my Nationality including dual/multiple Nationalities if any and I shall inform the Bank in writing of any changes to my Nationality; and

c. at the time of this application, I am not an undischarged bankrupt and there has been no statutory demand served on me or any legal proceeding commenced against me.

2. acknowledge that you may choose to either approve or reject this application and I agree that you do not need to provide a reason for your approval or rejection.

3. confi rm that I have obtained, read, understood and agree to be bound by the following (“Terms”):-a. UOB Debit Cardmember Agreement;b. Terms and Conditions Governing Accounts and Services;c. Terms and Conditions of UOB Personal Internet Banking and UOB Mobile Services; and[Terms are available at uob.com.sg].

4. agree:-a. you may review and change my debit card limit at any time without prior notice to me;b. in addition to the modes and manner you may send notices and communications to me under the Terms, you may send

notices and communications to me in any mode and manner you deem appropriate to my last known address, facsimile, telephone/mobile phone number and/or electronic mail address in your records;

c. the card applied for in this application (“Card”) will be renewed upon its expiry without further reference to me unless the Card account(s) is terminated before that;

d. the Card shall be linked to the savings/current account specifi ed in this application form and all card transactions and related fees and charges shall be debited from that account; and

5. consent and authorise you to conduct any credit check on me as you may require from time to time and to obtain, verify and/or disclose any information relating to me including information and details of the Card account(s) from or to the parties set out in the terms relating to your rights of disclosure under the Terms including any credit bureau and any person you deem appropriate or necessary for this application or as may be required by any applicable law;

#UOB PERSONAL INTERNET BANKING AND MOBILE BANKING SERVICES (“PIB/MBK”)

Occupation

Name of Company/School*

YOUR PLACE OF WORK/STUDY

Telephone & Ext (if applicable)

Your daily Mastercard limit is S$2,000. If you wish to set a diff erent daily Mastercard limit, please select accordingly:

S$1,000 S$5,000 S$10,000 S$50,000

Others, please indicate amount S$ (S$50,000 maximum)

DAILY MASTERCARD LIMIT

Please link my UOB bank account to my UOB Lady’s Debit Card that I am applying for herein:

Account Number: - - -

BANK ACCOUNT TO BE LINKED

Please select language to use for ATM screen setting

English ChineseLanguage :

DECLARATION OF APPLICANT(IMPORTANT: PLEASE READ BEFORE SIGNING) Promo Code Source Code CIF NO. Monthly Limit

Billing Cycle Occ Code Br/Staff Code Freend

Cd Fee Date Rev Code Expiry Decision

Offi cer’s Name Approval Signature Input By/Date Process By/Date

Date Received Branch Stamp Special Instructions

Status

SD RTP NS BA CASA A/C NR Others

P00010

_________________________________________Offi cer's Signature/Branch Stamp

Bank Verifi cation

FOR BANK USE

____________________________Date

# For new Card applicants without UOB Personal Internet Banking and Mobile Services (“PIB/MBK”), the mobile phone number provided will be used for SMS-OTPs (One-Time Password), credit card security alerts, and authentication subscriptions. If you already have PIB/MBK, your new Card or CashPlus account can be accessed with your existing PIB/MBK username and password. If your mobile phone number has changed and you wish to have it updated, please complete a Change of Address/Contact Details Form available at uob.com.sg.

The provision of this application form does not automatically indicate that United Overseas Bank Limited will accept the contents and issue a Debit Card. United Overseas Bank Limited reserves the right to reject the application without assigning any reason whatsoever.All information is correct at time of print.United Overseas Bank Limited Co. Reg. No.193500026ZDCVer3.1_Nov2020

6. I confi rm that I have read and understood the Bank’s Privacy Notice (Individual) (available at uob.com.sg and the Bank’s branches) which forms part of the terms and conditions governing my relationship with the Bank. I consent to the Bank collecting, using, and disclosing my personal data for Basic Banking Purposes, Co-Branding Purpose, Research Purpose and Marketing Purpose as described in the Bank’s Privacy notice(Individual). I note that (a) I may withdraw consent for any or all of the purposes at any time; (b) if I withdraw consent for Basic Banking Purposes and/or Co-branding Purpose, the Bank may not be able to continue to provide the products and services to me; (c) if I withdraw consent for Research Purpose and Marketing Purpose, my personal data will not be used for these purposes unless I expressly and separately consent to the same again.

7. agree that, all personal data provided by me in this application for the Co-Brand Card (if any) and information and details of my Co-Brand Card account(s) which may be issued to me and transactions made thereunder may be shared by you with the respective co-brand partner associated with the Co-Brand Card (“Co-Brand Partner”) to enable the Co-Brand Partner and its agents and authorised service providers to collect, use and disclose my personal data to any person the Co-Brand Partner deems appropriate or necessary for the purposes of:-a. processing this application and provide services associated with the Co-Brand Card account;b. off ering, marketing or promoting any promotion or off er relating to the Co-Brand Card account;c. administering any benefi t, privilege and term applicable to the Co-Brand Card account;d. off ering, marketing or promoting any product and/or service provided by the Co-Brand Partner; ande. conducting research or analysis relating to any product and/or service provided by the Co-Brand Partner, whether

conducted by the Co-Brand Partner(s) or jointly with any other party.8. acknowledge and agree that you and the Co-Brand Partner (if any) will be separately collecting, using and disclosing my personal

data and each party shall only be responsible for its own collection, use or disclosure of my personal data, and shall not be liable for the other party’s handling or use thereof. I agree to directly address any queries, access or correction requests, or complaints in relation to the handling of my personal data to the relevant party.

9. acknowledge and agree that this application and all documents submitted to you including all verifi cation documents obtained by you will be retained by you; and

10. confi rm and agree that if this application and any supporting document are sent or are purported to be sent by me to you has been sent by email, you are authorized by me, but are not obliged, to rely and act upon on the emailed copy sent by email without the original and without any liability to me.

I would like to be kept informed of promotions, off ers, products and/or services marketed by United Overseas Bank Limited and its related corporations (“UOB Group Members”) and, where applicable the co-brand partner associated with the card applied for in this application (“Co-Brand Partner”) and I hereby give my consent to any UOB Group Member and the Co-Brand Partner to contact me via all modes of communication (voice calls, SMS/MMS) using my telephone numbers in your records.

I agree that any consent given is additional to any other consent which I may have previously provided to UOB Group Members to inform me of marketing information; and does not supersede any rights which the UOB Group Members may have at law to collect, use and disclose my personal data.

_______________________________________Signature of Applicant

Note: Please sign according to your UOB bank account which the UOB Debit Card will be linked to.

__________________________Date

United Overseas Bank Limited Tel: 1800 222 2121

* Please delete where appropriate.

UOB LADY’S DEBIT CARD APPLICATION

YES! I would like to apply for the UOB Lady’s Debit Card (700/901)

Annual fee: S$18 (for the fi rst 3 years)+

Important Information:1. Eligibility

a. You must be female and age 16 years and above. No minimum income is required.b. You must submit a photocopy of your Passport with at least 6 months validity or

NRIC with this application form.c. You must hold a personal or joint UOB Savings/Current account. For joint UOB

accounts, only and/or accounts are eligible for this application.d. If the bank account is operated by thumbprint, you will need to convert it to a

signature-operated account at the branch before completing this application.2. Do ensure this application is duly completed and signed. Any incomplete application

form and documents will result in delay in processing.

+Annual Fee Waiver shall not apply to applicants who have cancelled and reapplied for the same principal UOB Lady’s Debit Card.

Home TelephoneMobile Tel.No.#

PLEASE TELL US ABOUT YOURSELF

Mother's Maiden Name (for emergency identifi cation purposes)

Name to appear on Card, including surname (within 19 spaces)

Name as in NRIC/Passport (underline surname) Ms Mrs Mdm Dr

S

Street/Building Name

House/Block Unit # -

Postal Code

Bill to Local Home Mailing Address

E-Mail Address

NRIC/Passport/PR* No. For Singaporeans, please provide NRIC no. onlyFor Foreigners: A copy of Passport (with at least 6 months validity and for all nationalities) is required.

Nationality

Country of Residence Country you are currently residing in or intend to reside in, for more than 1 year (e.g. Singapore)

Singapore Permanent Resident Yes No

Date of Birth (DDMMYYYY)

Gender Female

Passport Expiry Date (DDMMYYYY)For non-Singaporeans only

Mandatory for Card activation and One-Time-Password- SMS-OTP

Other Nationalities Yes NoIf Yes, please specify:

SC: 50020