APPLICATION FORM Please complete the following Application Form when applying for your Diamond Card. PERSONAL DETAILS Name (required) Middle Name (optional) Surname (required) Your Email (required) Confirm Email (required) Date of Birth (required) ID / Passport / Social Security Number (required) Individual Taxpayer Identification Number (ITIN) (required) Marital Status (required) UnmarriedMarriedOther (Please specify below) Please specify: (required) Number of Dependents (required) Please attach your Identification Document: (required) (Allowed file types: .pdf .doc .docx .tiff .png .jpeg .jpg - File size limit: 10MB) EDUCATION DETAILS Educational Qualification (required) SecondaryPost-SecondaryGraduatePost-Graduate ADDRESS DETAILS Residential Address (required) Street / Apartment (required) Extension / Area (required) City / State (required) Zip Code (required) Country (required) Please attach your Proof of Residence (required) (Allowed file types: .pdf .doc .docx .tiff .png .jpeg .jpg - File size limit: 10MB) EMPLOYMENT DETAILS Employer (required) Occupation (required) Yearly Salary (required) Please attach the last 3 months of bank statements (required) *Only applicable for Credit Card Applications (Allowed file types: .pdf .doc .docx .tiff .png .jpeg .jpg - File size limit: 10MB) Please check the following boxes before submitting: I give consent for Diamond Card Corporation to check my credit record with any credit reference agency. I also give consent for Diamond Card Corporation to provide credit reference agencies with regular updates about the conduct of my accounts, including the failure to meet the agreed terms and conditions. I also agree that the credit reference agencies may, in turn, make my record and details available to other credit grantors. I give consent for Diamond Card Corporation to process my personal information, as per the Privacy Statement set out on its website. I agree to the Terms & Conditions.