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