CARD ACCEPTANCE

MERCHANT
APPLICATION FORM
w w w. b a n k o f m a l d i v e s . c o m . m v
 SERVICE REQUESTED BANK ACCOUNT DETAILS (FOR DIRECT CREDIT) FOR BANK USE ONLY
New Application Change Details Request Bank Name
BML Payment Gateway Add Terminal Account Name
Electronic Data Capture Change Bank Account Details Account Number MRF Authorised signature Date Comments
(EDC) Terminal Change Address Current Account only
USD Comments

No. of terminals Landline GSM

DOCUMENTS REQUIRED
MERCHANT INFORMATION
Legal Name of Business (DBA) Please submit the following with your completed application form:
Import License copy or Local Investment Registry or Vehicle Registry
and Taxi Permit
Business Registration No./ID Card No. ID Card copy if Sole Proprietorship
Partnership deed copy if Partnership Merchant Details
Registration Date
If business is owned by a company Payment Currency 840 462 DUAL
Business (DBA) Address
A copy of Certificate of Registration
MCC
A copy of Memorandum and Articles of Association
A company resolution giving authority to sign the Merchant Application Merchant Discount
Form AMEX
Information form for Business & Institutions (if you have not previously . %
Phone Fax
submitted to the Bank) VISA/MASTERCARD/MAESTRO . %
Contact Name
Bank of Maldives Debit Cards . %
Title Mobile
DECLARATION UnionPay Card
. %
Business Email
Please setup the business named above as a merchant to accept card/s. I/We agree to be Diners Card . %
Our Website supports Secure Sockets Layer (SSL) based transactions from a browser,
bound by the “Terms and Conditions for Card Acceptance” which will be sent to us with the - Currency
to the level of at least 128bit or greater (for MPG Applicants Only) Merchant ID
merchant setup materials. The individual/s signing on behalf of the organization represents
Yes No Terminal ID .
and warrants that he/she has authority to do so. I/We agree to accept the American
Express/MasterCard/Maestro/ Visa/ Visa Electron Card/UnionPay Card/s Merchant ID - Currency
Type of Business
unconditionally and not to charge Cardholders any fees for using the Card/s. It is also Terminal ID
Resort/Hotel Travel Agent Retail Restaurant/Café certified that all information provided herein is true.
Other Services Terminal Details
If Retail or Other Services selected, please specify main Products/Services sold
Model
AUTHORISED SIGNATORIES
S/N

Average Transaction Amount SIM #

IMEI NO
Estimated Monthly Volume

Authorised signature Date

OWNERSHIP INFORMATION Staff ID & Signature Date

Type of Ownership Application received by

Sole Proprietorship
Public Company
Owner’s Name
Registered Address
Signature verified by
Limited Liability Company Partnership
Government Non-Profit Organisation Other CRM input by
Authorised signature Date Merchant created by
Terminal ID created by
Profile created by
MPI created by

Input checked by
Phone Fax Company Seal CRM updated by
Email