UOB CREDIT CARD APPLICATION

1

I am Privilege Banking member.

Personal Information / Current Address (Please Complete All Information Requested)

Mailing Address for New & Renewal Card Delivery/Statement Billing (Please Complete All Information Requested)

Home Address Office Address

Current Contact Address in Thailand No. ………...…Building ………...……...………Floor...Room No. ...Moo...Soi... Road...Sub District...District...Province...Postal Code. ... Residence is Owned Family's Rented (...Baht/month) Mortgaged (...Baht/month) Type of Residence Single House Twin House Town House Condominium Shop House Other (Please Specify)...Years of Residence... Address in Home Country (For Foreign Customer)... ...

For Bank Use Only

Channel Type... Agent Code... Program Code... Tracking Code

Mr. Mrs. Miss Other (Please specify)...

Full Name in Thai... Full Name in English as Shown in

Passport for Card Embossing

ID. Card No. Passport No. ... Expiration Date Nationality... Date of Birth Years of Age... Highest Education Secondary School College Diploma Bachelor's Degree At Least Master Degree

Marital Status Single Married Divorced Separated Widowed No. of Children...

Mobile No. E-Mail Address

(Please Use capital letters)

*Please fill in your mobile number and e-mail address to receive news and update regarding benefits and special offers from the Bank and to use for UOB personal Internet Banking service and UOB mobile.

Home Tel. ...Office Tel. ...Ext. ...

UOB CREDIT CARD APPLICATION

App.#

ธนาคารยูโอบี จำกัด (มหาชน) 191 ถนนสาทรใต เขตสาทร กรุงเทพฯ 10120

PFS_406_20181001-V1.2

UOB Credit Card (Please choose product you want to apply)

UOB PRIVI Miles

In case of my income does not meet internal criteria of UOB PRIVI Miles, my preference of acceptance shall be UOB PREFERRED credit card instead

Other (Please Specify)……...……... UOB PREFERRED UOB LADY’S Platinum UOB YOLO Platinum

UOB PRIVI Miles Wealth Banking UOB PRIVI Miles Privilege

In case of my income does not meet internal criteria of UOB LADY’S Solitaire, my preference of acceptance shall be UOB LADY’S Platinum credit card instead

Employment / Income / Occupation (Please Complete All Information Requested)

Employee / White Collar Professional State Enterprise Officer Business Owner / Self-Employed Government Officer Other (Please Specfy)...Type of Business...Position... Name of the Company...Office Address No. ...Building... Floor...Room No. ...Moo...Soi...Road...Sub District... District...Province...Postal Code. ... Date Joined...Monthly Basic Salary...Baht, Monthly Additional Income...Baht, If less than 1 year, please state previous company's name... Length of Employment...months Type of Business...

Employment/Occupation (Supplementary Card)

Employee/White Collar Professional State Enterprise Officer Person earning from commission Business Owner/Self-employed Government Officer Other (Please Specify)...…………...….. Type of Business………...…………..Position………...Monthly Income... Name of work place………...………...……….……….………... Address: No. ……….…...Building ………...………Floor...Room No. ...Moo... Soi...Road...Sub District... District...Province...Postal Code. ... Mobile E-mail

*Please fill in your mobile number and e-mail address to receive news and update regarding benefits and special offers from the Bank

Home Tel. ...Office Tel. ...Ext. ...

Supplementary Card Application

I, as a Primary Cardholder, consent supplementary card issuing to:

Mr. Mrs. Miss Other (Please specify)... Supplementary Cardholder Full Name in Thai…... Supplementary Cardholder Full Name in English as Shown in

Passport for Card Embossing

ID. Card No. Passport No. ... Expiration Date Nationality... Date of Birth Years of Age... Relationship Spouse Children Parents Full sibling Friend Other (Please Specify)... Current Contact Address in Thailand: No. ………....Building ………...……...Floor...Room No. ...Moo...Soi... Road...Sub District...District...Province...Postal Code. ...

Contact Person is Nominated by the Customer (Please Complete All Information Requested)

3

Applicant Qualification

Letter of Consent for Automatic Account Deduction

(UOB Account Only)

I allow United Overseas Bank (Thai) PCI. to deduct credit balance from my account in order to pay any expenses in respect of member fee, interest, card charge, fee, penalty and all expenses in connection with my credit card and supplementary card.

Select Only 1 Method

Account Name

Account Number

The minimum of 10% or no less than 1,000 Baht The full amount as specified in the billing statement

... ...

... ...

In the event that there are insufficient funds in my account, I fully understand that the Bank will not proceed in deducting balance from my account card to be outstanding until I have fully repaid such outstanding to the Bank. I fully acknowledge that the deduction of cash from my account, as stated in this letter of consent, is made in accordance with my own request. Should there be any related mistake or damage to the Bank from following such request of mine, I agree to provide the full reimbursement immediately.

Required Documents for Primary Credit Card Applicant

Foreign Employee Copy of ID or Passport

Work Permit (holding 1 year work permit) Copy of Last 6 Months Bank Statement

Certificate Letter from Employer Confirming Salary or Payroll Slip

Private Business Owner Copy of ID or Passport

Copy of Last 6 Months Personal Bank Statement Copy of Business Registration*

Shareholder List*

*Updating within last 3 months

For Supplementary Credit Carrd Applicant

Copy to Primary Card Holder ID or Passport (Sign the document)

Copy of Supplementary Credit Card Applicant ID or Passport (Sign the document) 1. Age : 20 - 60 years old for Primary Card / 15 - 80 years old for Supplementary Card 2. Minimum monthly income

...

(...)

Account owner issuing the above order (Please use the same signature as it appears within the application form of your UOB account.)

1

Product

UOB PRIVI Miles Privilege Banking UOB PRIVI Miles Wealth Banking UOB PRIVI Miles

UOB LADY’S Solitaire UOB LADY’S Platinum UOB PREFERRED UOB YOLO Platinum

Legal Information for Credit Card Applicants

(1) I (including all primary and supplementary credit card applicants) hereby certify that the

information given is all true and acknowledge that the Bank may reject/deny this application.

(2) To the extent permitted by law, I agree and consent that the Bank, its personnel or

representatives, may collect, use, provide, receive, transmit, disclose, gain access to personal

information, credit/service information, bio-data, status, other electronic information,

including other information related to me, as the Bank may deem appropriate, for sending

to its parent companies, subsidiary companies, associated companies, any group or affiliated

company of the Bank and branch offices of the aforesaid located in Thailand or overseas,

including to its directors, employees, contractors, agents, representatives, auditors, appraisers,

professional practitioners, who give advice to the said companies, assignees, state agencies,

regulatory agencies having jurisdiction over the Bank, or any person having legal relationship

with the Bank or me, for the purpose of analyzing credit, debt restructuring, renewing,

reviewing credit limit, computing credit data any time, or for other purposes as required by

law, including for the purpose of conducting business, management of every type of business

of the Bank, debt collection, making demands, collecting statistics, market planning, assigning

rights and obligations, in order for the Bank to provide a fair and continuous service to me.

I hereby agree and consent that the Bank, its personnel or representatives may collect, use,

provide, receive, transmit, disclose and gain access to my personal information, credit/service

information, bio-data, status, other electronic information including other information related to

me for the purpose of marketing, offering and selling of the Bank's products and services to me.

I hereby give my consent to enable the foregoing actions to be undertaken legitimately at

all times.

(3) To the extent permitted by law, I agree that the Bank, or any person authorized by the Bank,

or any person that may be employed additionally by the person authorized by the Bank,

may contact; send letters, notices and invoices to follow up with, demand, send receipts or

other documents to me or other person specified for such conduct as I have so permitted

in the credit or service application form to or at the home address, work address, e-mail

address, or any other information given to the Bank for contact, by/via post, telephone,

mobile phone, voice mail, e-mail, internet, other electronic systems or other means, at the

appropriate time and frequency, or according to the information or venue that I may notify

the Bank to change through the Bank's telephone services or other service channels made

available by the Bank.  If I make any transaction through any said channel, I agree to be bound

by the terms and conditions of such services where the Bank may collect, change or add

any home address, work address, contact address or any other information immediately

without having to produce evidence or provide confirmation unless the Bank so requires.

(4) I am pleased and wish to receive any service news information of the Bank through every

kind of communication channel or telephone number given by me to the Bank. I am also

pleased to have the Bank's employee at a position of department manager or equivalent be

responsible for providing services to the customers, to listen to such conversation in order

to improve and develop the Bank’s services.

(5) Whenever I receive a credit card which may have been renewed/upgraded/downgraded/

changed, I agree to be bound by the terms and conditions for the use of credit card that are

in effect as of present and as may be amended from time to time, provided that such

amendment will be in accordance with the terms and conditions for the use of credit card.

I (as the primary card applicant) shall take responsibility to pay all debts incurred by the

possession and/or use of the primary card and any supplementary card (if any).

(6) I agree to comply with and pay debt in accordance with the terms and conditions for the

use of credit card that are in effect as of present and as may be amended from time to time,

provided that such amendment will be in accordance with the terms and conditions for the

use of credit card.

(7) I agree to give this consent so as to validate as a lawful act the foregoing actions that have

already been taken, are being taken now, or shall be taken in the future.

(8) I and/or the supplementary card applicant shall allow the Bank to cancel the credit card if I

do not activate my card/credit line within 12 months after the date of approval.

5

Remark: The Bank reserves the right to approve any product based on the Bank’s discretion and the Bank’s decision is deemed final.

………...……… (………...………...)

Credit Card Applicant

2

Supplementary Card Applicant

Caution!!

• Incomplete or late payment will give rise to cardholder to pay penalty interest

and debt collection charges. The card applicant must read and understand all the terms

and conditions before signing off.

• The applicant is advised to cross the ID card/ Passport copy and marks it with the

wording (For doing transaction with UOB only)

PFS_406_20181001-V1.2

(10) I agree that the Bank may deny and change the qualifications and the above application

form without giving prior notification and all approvals are based on the Bank’s discretion.

The applicant may make a request to retrieve the supporting documents submitted in

connection with the credit card application within 1 month after the Bank has announced the

result of considering the application. However, the Bank may make a copy of the documents

and retain the same in order to comply with its obligations under the relevant laws.

(11) For the purpose of controlling and computing data by the Credit Bureau of which the Bank

is a member, after approving my credit card, the Bank shall send information related to the

use of my credit card (primany card) as retained by the Bank to the said Credit Bureau.

(12) Privileges and benefits of the cardholder specified in the credit card's privileges and benefits

manual are based on contractual agreement between the Bank and its business counterparties

and have a definite period of expiration and may be subject to changes. Therefore, the

cardholder may not receive substitute of the same privileges and benefits or equivalent for

the expired privileges and benefits.

(13) Notwithstanding any terms and conditions provided hereunder, the Bank shall be entitled to

take all actions the Bank considers appropriate in order for the Bank to meet any obligation

or requirement, either in Thailand or elsewhere, in connection with the detection, investigation

and prevention of financial crime including fraud, money laundering, terrorism financing,

bribery, corruption, or tax evasion or the enforcement of any economic or trade sanction

(“Financial Crime”).

I understand and agree that if any activities, conduct or circumstances I am involved in

(directly or indirectly) may, in the sole and absolute discretion of the Bank, expose the Bank

to legal or reputational risk, or actual or potential regulatory or enforcement actions, the Bank

shall at any time, without giving any reason or notice to me, have the right to immediately:

(a) close all accounts and terminate all services I have with the Bank;

(b) delay, block or refuse the making or clearing of any payment, the processing of instructions

or the application for services or the provision of all or part of the services;

(c) terminate and/or recall any or all advances or loans, credit or other financial or banking

facilities (committed or uncommitted), accommodation, financial assistance or services and

demand repayment of all sums outstanding; or

(d) make reports and take such other actions as the Bank may deem appropriate.

Letter of Consent for Disclosure of Personal Information

I hereby agree and consent that the Bank may disclose my information to UOB Asset Management (Thailand) Co., Ltd. / Krungsri Asset Management Co., Ltd. / Aberdeen Asset Management Company Limited / Prudential Life Assurance (Thailand) Public Company Limited / MSIG Insurance (Thailand) Public Company Limited / AXA Insurance Public Company Limited / Thaivivat Insurance Public Company Limited / Aetna Health Insurance (Thailand) Public Company Limited / AIG Group of companies / The Viriyah Insurance Company Limited / The South East Insurance Co., Ltd. / Chubb Samaggi Insurance Public Company Limited for the purpose of offering and selling mutual fund as well as life and non-life insurance products to me. I acknowledge that I have the right to notify the Bank through UOB Bank Customer Service Center Tel no. 02 285 1555 to terminate this consent in the future.

I do not wish to disclose my personal information for the above-mentioned purposes.

... Date.../.../...

3

(...) Please print or use capital letters

(Credit Card Applicant)

For bank use only

PFS_406_20181001-V1.2 Remarks :... ... ... ... ... ... ... ... ... For Deposit & Debt Instrument Program only

Self-employed

2. Income calulation Checking:

Yes No

No income Document: Yes No

Government Sector

Average Deposit OS Balance L6M: Adjusted Obligation

Fixed Monthly Income: Variable Monthly Income:

Accepted Annual Income: Accepted Monthly Income: Other Monthly Income:

Average 6M Cash Flow:

% Shareholder:

Yes No

Type of Business: Occupation

1 Mobile Billing Statement 2 Waive Customer Verification

3 CM Track

4 Waive Employment Verification 5 Negative Occupation 6 Negative Business

7 รับบัตรสาขา

N/A Top3000 Government State Enterprise

1 Pre-screen docs. 2 Pre-screen Key in 3

4 ฉีก Consent 5 Income cal. - Maker 6 Income cal. - Checker 7 Data entry - Maker 8 Data entry - Checker

งานที่ทำ

No.

Occupation 3. Customer Information Checking: Supplementary#1

Customer Preferred Limit Type of Business: Credit card - Preferred Limit

Cash Plus - Preferred Limit I Cash - Preferred Limit 1. Main Customer Information Checking:

Manual Review Yes No

Occupation 4. Customer Information Checking: Supplementary#2

E09/2018

United Overseas Bank (Thai) Public Company Limited ธนาคารยูโอบี จำกัด (มหาชน) 191 ถนนสาทรใต เขตสาทร กรุงเทพฯ 10120

RS

Remark : Information which the company discloses to member or service recipient is one of the constituent for

credit analysis of financial institutions but disclosure of such information is right of information owner whether

he/she will give it or not.

Letter of Consent for Disclose Information

...

Consent Grantor

...

(...)

Witness

(Please print or use capital letters)

Individual Person

I (Mr./Mrs./Ms.)... Last name...

Date of Birth (DD/MM/YYYY)

Telephone Number...

Identification Card No.

Foreigner

Passport

No. ...

Other (Please Specify)... No. ...

I hereby agree and consent to the National Credit Bureau Co. Ltd. (the company) to disclose or to provide my information

to United Overseas Bank (Thai) Public Company Limited which is member or service recipient of the company for the

purposes of credit analysis, issuance of credit card according to my application for credit/ credit card which was given

to the Bank/Company as mention above, including to the purposes of credit review, credit agreement extension/credit card

renewal, risk management and prevention pursuant to the Bank of Thailand’s stipulations. I further agree that any duplication

and any copy, photocopy , electronic data, or facsimile which have been made as a copy from this original consent letter

by means of photocopying, image scanning, or recording in whatever forms shall be deemed as evidence of my consent

with the same effect as its original.

Letter of Consent to Disclose NCB Information

to Develop Credit Model

ธนาคารยูโอบี จำกัด (มหาชน) 191 ถนนสาทรใต เขตสาทร กรุงเทพฯ 10120 Made at... Date.../.../... ... (...) Consent Grantor (Please print or use capital letters)

For UOB Credit Card Application

Foreigner

Passport No. ... Other (Please Specify)...No. ...

Individual Person

I (Mr./Mrs./Ms.)... Last name... Identification Card No.

I acknowledge and consent to United Oversea Bank (Thailand) Public Company Limited, which is a member of National Credit Bureau Co., Ltd., to use my information as received from National Credit Bureau Co., Ltd., which could not identify my identity, including, but not limited to, first name, surname and identification number, as a factor in preparing credit model pursuant to Section 20/1* of the Credit Information Business Act. Further, any counterpart, copy, photocopy, electronic data, facsimile or any other records of this original Letter of Consent shall also be deemed as evidence of my consent. However, I, as an owner of the information, acknowledge that I shall be entitled to give or withhold this consent to United Oversea Bank (Thailand) Public Company Limited. In the event that my consent has already been given, I shall also be entitled to withdraw the consent at any time.

*Section 20/1 provides that “Credit Bureau members may make use of their customers credit data to the extent permitted under section 20, i.e., the part of credit data that doesn’t bear identity information, specifically for the purpose of credit model design provided that the members obtains customers’ consent.

YOLO Platinum Detail of interest rates, service charges, fee and other expenses related to credit card usage.

(Announcement No. 027/2018 on 28 November 2018, Effective from 28 November 2018) (1) Service Fees and Charges

Joining Fee - Primary Card/ Supplementary Card Annual Fee (2) _{- Primary Card}

- Supplementary Card

- THB 2,000 PRIVI Miles Privilege Banking/

PRIVI Miles Wealth Banking/ PRIVI Miles/ LADY’S Solitaire

- THB 4,000 - PREFERRED / LADY’S Platinum - THB 3,000 - - Interest Rate

Cash Advance Transaction Fee

Grace Period (free of interest charge preriod)

18% per annum(3)

10% of the total amount as per the monthly statement or minimum of THB 1,000, whichever is higher

3% of the amount of cash withdrawn

maximum of 55 days from the date of previous billing cycle Minimum Installment Payment Rate

Visa Infinite - THB 36,500

-

•THB 5,900 / time for UOB Visa Infinite Primary Card (Mastercard)

•THB 200 / time for UOB Visa Infinite Supplementary Card and Other Credit Card

Statement Re-issuance Fee Copy of Sales Slip Fee PIN Code Replacement Fee Transaction Inquiry Fee Debt Collection Fee (4)

Foreign Currency Exchange Risk Premium (5)

International ATM Access Fee for Cash Withdrawal (5)

Card Replacement Fee for Lost / Damaged Card

THB 100 / time THB 200 / time THB 100 / time THB 200 / time THB 100 for every cycle

Not in excess of 2.5% of the transaction amount incurred abroad per transaction As prescribed by the ATM Operators

9 Area

Payment Charges per Transaction

Bangkok and Greater Bangkok (6) _Upcountry

At Counter of UOB (Thai)/ UOB ATM/ UOB Direct Debit/ Mailing Cheque/ UOB Cyber Banking

Bank of Ayudhya

• At Counter of Bank of Ayudhya • Electronics Channels of Bank of Ayudhya At Counter Service

(Cash only and not more than THB 30,000/ time) Pay at Post Tesco Lotus TOT mPay STATION Big C CenPay True Money

Cross-Bank Bill Payment (8)

THB 15 THB 15 (7) THB 10 THB 10 (7) THB 15 THB 20 Exempt THB 10 THB 15 THB 15 THB 10 / every THB 49,000 THB 5 THB 5 Maximum of THB 20 THB 10 / every THB 50,000

(1) Credit card interest rates, service charges, fees may be amended from time to time with a prior notice at least 30 days before the amendment become effective (service fees and charges are subject to VAT). • The fee will be charged based on actual fee amount that UOB cardholder is charged by each payment service provider and can be changed in the future. • The Bank has the right to extend or offer any benefits fo Banking Products/Services to cardholders.

(2) Get annual fee waiver for the first year. And get fee waiver for the following year when cumulative spending on card at a minimum per year of THB 300,000 for all PRIVI Miles card types, THB 200,000 for LADY’S Solitaire THB 150,000 for PREFERRED, THB 100,000 for LADY’S Platinum /YOLO Platinum.

(3) For cash Advance, the Bank will calculate interest starting from the withdrawal date of cash advance. For partial payment, the Bank will calculate interest starting from the date of payment to store.

(4) Effective date of Debt Collection Fee is 1 Aug 2014

(5) When cardholder uses credit card to make payment for goods and/or services and/or cash advance in a foreign currency, the expense incurred will be collected in Thai Baht. The collected amount is converted at the exchange rate applicable by each credit card company of which United Overseas Bank (Thai) Plc is a member as of the date such expenses were collected from the Bank on actual collection basis where the expense is not incurred in USD, the credit card company may convert it into USD then from USD to Thai Baht.

Credit cardholders may view the exchanges rates via below links for preliminary reference: For VISA: http://corporate.visa.com/pd/consumer_services/consumer_ex_rates.jsp

For MasterCard: http://www.mastercard.com/us/personal/en/cardholderservices/currencyconversion/index.html

For the purpose of risk protection, the Bank will charge an exchange risk-hedging premium on the top of the converted amount at a rate not exceeding 2.5% of the expense incurred.

(6) Greater Bangkok is Samutprakarn, Nonthaburi, and Pathumthani.

(7) When making payment of over THB 50,000 at Bank of Ayudhya in upcountry provinces, the additional fee of 0.10% of the payment amount or maximum of THB 1,000 shall be imposed.

(8) Cross-Bank Bills Payment members i.e. Siam Commercial Bank, Kasikorn Bank, Bangkok Bank, Krungthai Bank, Bank of Ayudhya, Kiatnakin Bank, Thanachart Bank and Government Saving Bank (Data as of Oct 2018) However, type of payment channels depended on each Cross-Bank Bills Payment members announcement.