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Statements and PIN / Agreements / Income / Offer and declaration / Authorisation / Confirmation /
Surname, name, title František Koudelka
Entity Entrepreneur
Permanent residence address Vinohradská 123, Praha, 120 00
Birth number / date of birth 8765242/2134
Proof of identity: type, number, issue date, validity,issued by office / state Identification Document, 10222002, issued on 1. 1. 2001 do 1. 1. 2011,issued by MěÚ Praha
Marital status Single
Matrimonial property settlement value
Married on 1. 1. 2000
Total number of people living at address 5
Of which number of children aged up to 6 years 1
Of which number of children aged between 7 and 10 1
Of which number of children aged between 11 and 15 1
Of which number of children aged between 16 and 25 2
Housing conditions Majitel/ka bytu
Living at permanent address since 1. 1. 2000
Education Středoškolské
Card type Lady karta Personal credit card terms and conditions
Interested in the credit insurance Yes
Basic credit limit value
Individual credit limit value
Lump sum payment (100% instalment) Yes
Account from which the fees and regular instalments will be paid 23-33356333322/0100
Weekly limits ATMs 100 000,00 CZK
shops 100 000,00 CZK
total limit 100 000,00 CZK
Interested in the custom card design Yes
Enter e-mail address in order to obtain custom card design code name@domain.cz
Send notification upon processing the application SMS: 123456789
Statement settings Electronic, monthly
Postal address Zaplatílkova 65, Praha, 180 00
Card PIN to be sent to the address Ulice 4321, Praha
Card PIN to be sent to the branch Ulice 4321, Praha
SOLUS registry I agree
Agreement with provision of data to the positive SOLUS registry I agree
Agreement with provision of data to the NRKI registry I agree
Note Confirming the agreement with provision of data in the SOLUS and NRKI registers has great influence on approval for a credit card.
Notification of client agreement with data processing View document
Income from employment
Is your income from employment being regularly transferred to a KB account? Yes
You will be asked to provide confirmation of Income from employment after submitting the application. Please fill it in and have your employer confirm it.
Income from employment value
Occupation value
Work sector value
Employed since 1. 1. 2000
Employment contract Určitou, do 15. 12. 20012
Currently in trial period No
Currently in notice period No
Employer's name value
Employer's ID / birth no. value
Employer’s main field of business value
Employer's postcode value
Employer's town value
Employer's country value
Business revenues
Business revenues 0,00 CZK
Entrepreneur ID / birth no. value
Main business activities value
Entrepreneur's name value
Entrepreneur's postcode value
Entrepreneur town value
Entrepreneur's country value
Self-employed since 1. 1. 2000
Other income
Income from rent 0,00 CZK
Income of co-parner 0,00 CZK
Other verifiable income 0,00 CZK
Additional income name, 10 000,00 CZK
I confirm that the above information is correct.
I agree and accept the terms and conditions of Personal Credit Card Services.
Your relationship manager is Zuzana Kenerová | Meeting summary | Schedule meeting | Call me
mojebanka@kb.cz | +420 955 551 556(Mo-Fr 8:00 - 16:00)