BAHASA MALAYSIA
ENGLISH
PLEASE COMPLETE THE DETAILS BELOW FOR BANK ISLAM CREDIT CARD-i ACTIVATION VERIFICATION
FULL NAME
*
NRIC
*
MOTHER MAIDEN NAME
*
EMPLOYER NAME
*
THE LAST 4 DIGITS OF CARD-i NO.
*
CARD EXPIRY (MM/YYYY)
*
01
02
03
04
05
06
07
08
09
10
11
12
/
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
MOBILE NO.
*
CAPTCHA
Type the characters you see in the picture below.
WORD VERIFICATION
*