Lebanon & Gulf Bank LGB

عربي

Choose LGB Branch *

LGB Customer

YesNo

State Your Account Number *

Card Information

Card Type

Card Brand

Card Choice

Card Limit

Personal Information

Title *

First Name *

Middle Name *

Last Name *

Spouse's Maiden Name

Mother's Maiden Name *

Date of Birth *

Place of Birth

Registration Nb *

Place of Registration *

Nationality *

Educational Level

Marital Status

No. Of Dependents *

Current Home Address

Home Ownership

Building

Street

Region / City *

Country *

Phone *

Mobile *

Email *

Professional Information

Employment Type

Company/Employer's name *

Nature of Business *

Employment Date *

Position *

Company Address

Building

Street

Region / City *

Country *

Phone *

Financial Information

Annual Income *

Additional Income

Source of Additional Income

Do you have any banking relationships with other banks?

YesNo

Bank Name

Branch Name

Account Type

Opening Date

Credit Cards Held & Card Limit

MasterCard/
Visa/CUP

Bank Name

Branch Name

Card Limit

Credit Facilities

Types of
Facilities

Borrower /
Guarantor

Bank Name

Branch Name

Loan Amount

Acknowledgement

I hereby certify that all information provided in this application is, to the best of my knowledge, true and correct and I understand that Lebanon & Gulf Bank s.a.l. has the right to prosecute me criminally to the fullest extent of law for any willful misstatements or omissions. Furthermore, by signing this application, I hereby certify that I have read and approved, without any reservations, all the Terms and Conditions listed on the reserve of this form.

Personal Banking /

Cards

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