DəmirBank

- AZE
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E-mail: info@demirbank.azCall centre: 149

INDIVIDUAL CUSTOMERS

VOTING

BANK NETWORK

ATMs Branches

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ONLINE APPLICATION FORM TO OPEN A LOAN LINE BY CARD

Data about card

* Currency of card account:

* Type of card:

* Password:

* Please choose branch/department to obtain a card:

Note:
• Please remember your password because it is needed in solving some issues (for example, to block the card in case of its loss).

Identity Card

* First name:

* Patronymic:

* Last name:

* First name in English: (As indicated in front bottom left corner of Identity Card)

* Last name in English: (As indicated in front bottom left corner of Identity Card)

* Serial number:

AZE:

* Date of issuance:

* Name of issuing authority:

* Date of birth:

Contact information

* Registered place of residence

Country:
City:
Adress:

Current different place of residence (please indicate, if any)

Country:
City:
Adress:

* How long you have been living in your current place of residence:

* Private phone number (with area code):

Cell phone number:

Email address:

Private data

*Information about education

* Marital status:

Number of full age children: (if any)

Number of underage children: (if any)

* Data about military service:

Additional information

Account number in the Azerdemiryobank: (if any)

Credit card number of the Azerdemiryolbank: (if any)

Private property under your ownership

Apartment

Sayı:

Living mansion

Sayı:

Villa

Sayı:

Land plot

Sayı:

Non living area

Sayı:

Car

Sayı:

Type of business activities:

Shares in business, in percentage:

* Do you have deposits in other banks?

Yes No

Current loan obligations

Sayı:

Information about working activities

* Enterprise:

* Area of activities run by enterprise:

* Total number of employees within this enterprise:

* Address:

* Phone number: (with area code):

* Position

* How long you have been working for this enterprise:

Information about income and expenditure

* Monthly salary without tax (in AZN):

Additional income sources:

Regular monthly salary from additional sources (in AZN)::

* Regular monthly expenditures (in AZN)::

* Choose the branch to receive card