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1. Card Holder Information: Full name, contact details, and identification information of the card holder
2. Card Details: Card type, last four digits of card number, expiration date (avoiding full card number for security)
3. Authorization Purpose: Clear statement of what the authorization is for and transaction limits
4. Duration of Authorization: Validity period of the authorization
5. Data Protection Notice: How personal information will be collected, used, and protected in compliance with PDPA
6. Authorization Statement: Express authorization language and confirmation of understanding
1. Recurring Payment Details: Additional section for recurring payment authorizations, including frequency and amount of recurring transactions
2. Multiple Card Authorization: Section for authorizing multiple cards, including separate details for each card
3. Third Party Authorization: Section for when card use is authorized for persons other than the primary cardholder
1. Terms and Conditions: Detailed terms governing the card authorization including liability and dispute resolution
2. Schedule of Authorized Transactions: Detailed list of specific transactions or transaction types that are authorized
3. Required Identification Documents: List of required identification documents to be attached with the form
Card
Card Details
Card Holder
Charges
Effective Date
Expiration Date
Merchant
Payment Processor
Personal Data
Recurring Payment
Services
Transaction
Transaction Amount
Valid Card
Payment Schedule
Authorized User
Business Day
Confidential Information
Force Majeure
Governing Law
Notice
Payment Date
Security Measures
Term
Card Details
Payment Terms
Transaction Limits
Duration and Validity
Cardholder Representations
Data Protection
Security Measures
Confidentiality
Liability
Termination
Dispute Resolution
Governing Law
Amendment
Force Majeure
Notice Requirements
Indemnification
Refund Policy
Recurring Payment Terms
Cancellation Rights
Processing Fees
Card Verification
Record Keeping
Third Party Rights
Entire Agreement
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