ACBA ON-LINE
CONTACTS
Individuals
Business
Farmers
Primary

Please fill in the application in English
By submitting this application, the Cardholder authorizes the Bank to open a card account in his/her name and provide him/her with a card to dispose of funds available on that account.
Fields marked with * are mandatory
Choose a card*
Branch*
Currency of the card*

Applicant details

First name*
Last name*
Patronymic name*
Personal identification document*
Social services number*
Date of birth (month/day/year)*
Sex*
Current residence address*
Registered address*
Landline phone no.*
Mobile phone no.*
E-mail*
Password*
I have a deposit account in the Bank*

The individual depositors may acquire VISA Classic/MasterCard Standard cards for free, if at the givenmoment the amount available on the deposit account is equal or does not exceed 7.5 million AMD (or equalforeign currency) or a VISA Gold/MasterCard Gold card if at the given moment the amount available onthe deposit account exceeds 7.5 mln. AMD (equal foreign currency). A credit line of 80% of the amountavailable on the deposit account can be opened on the credit cards in AMD, USD and EUR at any moment.

Employment

Type of employment*
Name of educational institution*
Year of graduation*
Year of start of employment*
Name of organization*
Position*
Work phone no.*

Credit Line Data

Do you want a credit line?*
Credit line size*

up to 3 million AMD (inclusive)
up to 9 000 USD (inclusive)
up to 7 500 EUR (inclusive)
Salary amount*
Salary receiving method*
Applicant's family members number*
from which working*
Total income*
Property ownership
ACRA agreement
Agree*

Other

Where did you learn about the card?*
Other*
How would you like to receive your account statements and other notifications required under the law of the Republic of Armenia “On attracting bank deposits”?*
Activate SMS notifications for card transactions exceeding a specified amount*
Minimum amount
Mobile phone no.*
Language of SMS notification*
Type of SMS notification*

Residency details

Residency*
Specify state of residency
I confirm that I have read and accept “ACBA-CREDIT AGRICOLE BANK” CJSC’s “Terms and conditions for issuing and servicing payment cards” and card issuing and servicing fees, and that the information provided in this application is complete and accurate. I confirm that I am familiar with the possible risks regarding the usage of payment cards presented in the “Advices for cardholders” section in the website and the advice regarding the process of following the safty rules.*
Written on the picture   
In case of any inconsistencies between the published Armenian and English information, the Armenian version prevails.
Updated: 27.03.2019 15:50
82-84 Aram Street, Yerevan, Armenia
Tel: (+374 10) 31 88 88
Fax: (+374 10) 54 34 85
E-mail: acba@acba.am