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Please complete the application in Armenian
Applicant details
Name
*
Surname
*
Branch
*
«Arabkir» Branch, 64a Sundukyan Street, 2/1
«Komitas» Branch, 58, Komitas avenue 57 area
«Armenia» Branch, 10 V. Sargsyan Street ,premise N 123, 124
«Yeritasardakan» Branch, Abovyan 36/49
«Kentron» Branch, 82-84 Aram Street, 87 Area
«Sayat-Nova» Branch, 8, 21/1 Sayat-Nova street and 22 Abovyan street, 1/1
«Teryan» Branch, 7 Sayat-Nova Street, 12 Area
«Opera» Branch, Mashtots 42, 17/1
«Davtashen» Branch, Davtashen I community, 42/2
«Yerevan mall» Branch, Arshakunyac 34/3 number 93
«Shengavit» Branch, 16/2 Bagratunyats Street
,
,
«Zeytun» Branch, 13/5 D. Anhaght Street
,
«Kesaria» Branch, Malatia Sebastia, Sheram 93/3 and 93/5
«Malatya» Branch, 55, 1/1 Raffi Street, Malatia-Sebastia
«Nor Avan» Branch, 55/15 Tsarav Aghbyur Street, 4 Building
«Nor Nork» Branch, Gai avenue 16/46
,
«Shinararner» Branch, 15 Shinararner Street, 156 Area
«Armavir» Branch, 16 Yerevanyan Street
«Baghramyan» branch, 10/1, Yerevanyan Street, Myasnikyan community
«Echmiadzin» Branch, 30 Mashtots Street
«Metsamor» Branch, 1-st District, 2 b. 1-6 store
«Ararat» Branch, 31 Shahumyan Street
«Araks» Branch, 45/1 Shahumyan Street
«Masis» Branch, 3 Central square
«Vedi» Branch, 42/2 Araratyan Street
«Aragats» Branch, Hoktemberyan street, 2/1
«Aragatsotn» Branch, 1/1 N. Ashtarakeci Square
«Ashtarak» Branch, 1 Yerevanyan Street
«Aparan» Branch, 37 Baghramyan Street
«Talin» Branch, 4 Komitas Street
«Ani» Branch, Ani District, 7th Street, 5/2
«Gyumri» Branch, 18a Shirakatsi Street
«Shirak» Branch, 256 Abovyan str.
«Ashotsk» Branch, 1st street, 9th building
«Artik» Branch, 28/1 Ankakhutyan Street
«Maralik» Branch, 13 Freedom Square
«Gegharquniq» Branch, Boshnaghyan Street
«Martuni» Branch, 52 Yerevanyan Street
«Sevan» Branch, Nairyan street 153/33
,
«Vardenis» Branch, 5/1 Roman Street
«Alaverdi» Branch, 59 Tumanyan Street
«Lori» Branch, 22a Tigran Mets Street
«Spitak» Branch, 3 S. Avetisyan
«Stepanavan» Branch, 9 G. Nzhdeh Street
«Tashir» Branch, Kirovi Street, area/district 5, N192
«Berd» Branch, 1/3 Levon Bek Street
«Dilijan» Branch, 37/2 Myasnikyan Street
«Noyemberyan» Branch, 2 Barekamutyan Street
«Tavush» Branch, 6/4 Valance Street
,
«Yeghvard» Branch, 48 Charents Street
«Hrazdan» Branch, 31/101, Central area
«Kotayk» Branch, 4/2 Hatis Street
«Charentsavan» Branch, 2/1-2/3 Khanjyan
,
«Goris» Branch, 2/5 Ankakhutyan Street
«Sisian» Branch, 39d Sisakan Street
«Syunik» Branch, 4 Aram Manukyan Street
,
«Vayots Dzor» Branch, 2/5 P.Sevak street
«Vayq» Branch, 98/3-4 Shahumyan
Specify the branch where you ordered your card.
Type
*
Passport
Number ID
Series and number
Համարը
Issued by
*
Issued date
*
Card Details
Card Type
*
ArCa Classic
Visa Classic
Mastercard Standard
Visa Gold
Mastercard Gold
Visa Student
Visa Signature
Mastercard UEFA Champions League
ArCa Transfer
Visa Business
Visa «Բարերար»
ArCa Business
ArCa Կենսաթոշակային
ArCa Credit
ArCa Farmer
American Express Gold
American Express Blue
American Express Cashback
Mastercard Gold
ArCa Pension
UnionPay Gold
UnionPay Business
Currency of the card
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AMD
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USD
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EUR
First 6 digits of the card
*
Last 4 digits of the card
*
The card is on a credit line
*
No
Yes
+374
Phone Number
*
Email
*
Card replacement reason
*
Damaged
Forgot PIN code or is not legible
Stolen/Lost
Fraud is suspected
Client’s wish
Card replacement with contactless and chip card.
Other (mention)
Other reason
Required action
*
Order new card
Method of receiving the card
Branch
checkbox-ACRA_1
*
The members of the 'ACBA GROUP' financial group
1
(hereinafter referred to as the Group) after signing this agreement until the conclusion of a credit (loan, any other credit product, etc.) agreement (hereinafter referred to as the Agreement) with me (or until a decision is made not to conclude an Agreement with me) of the loan ( and/or other credit product) make inquiries* (inquiries lower the credit score) to 'ACRA Credit Reporting' CJSC and I am asking 'ACRA Credit Reporting' CJSC to provide information regarding my current and past financial obligations, as well as other data that may be considered by members of the Group when making a decision on signing the Agreement with me.
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checkbox-ACRA_2
*
In case of signing an Agreement by the members of the Group, during the entire duration of the Agreement, and in the presence of the general credit agreement, also during the duration of the latter, at any time without prior notice to make inquiries to 'ACRA Credit Reporting' CJSC for the purpose of monitoring* (does not affect credit score) of the current loan (and/or other loan product), and 'ACRA Credit Reporting' CJSC will provide the members of the Group with information on all my financial obligations, as well as other data.
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checkbox-ACRA_3
The members of the Group at any time prior to the termination of business relations with me, without prior notice to me, for the purpose of checking creditworthiness and providing banking services (does not affect the credit score), made inquiries to 'ACRA Credit Reporting' CJSC and 'ACRA Credit Reporting' CJSC provided members of the Group with information on all my financial obligations, tax obligations, any other data included in tax reporting, as well as other data.
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checkbox-ACRA_4
*
I hereby agree that:
The members of the Group sent a request information from the 'Nork' Social Services Technology and Awareness Center Foundation and I am asking them to provide any information about me that may be used by members of the Group.
The members of the Group make a request to the RA Cadastre Committee regarding the properties owned by me with the right of ownership or joint ownership and receive comprehensive information about my property rights, including the information regarding their origins, as well as receive the copies of the certificate of ownership, copies of the house plan and other necessary documents from the cadastral file, provide an application to the RA Cadastre Committee on behalf of me, perform a state registration of any kind of right of ownership of real estate, receive documents, make payments until the fulfillment of my credit (any other credit product, loan, etc.) obligation.
The members of the Group make a request to RA Road Police regarding the vehicles owned by me with the right of ownership or joint ownership and receive comprehensive information regarding my property rights, including the information regarding their origins, as well as receive the copies of the certificate of ownership and other necessary documents until the fulfillment of my credit (any other credit product, loan, etc.) obligation.
The members of the Group make a request to 'Armenian Motor Insurers Bureau' union of legal entities and insurance companies and receive any information regarding the insurance of the vehicles owned by me with the right of ownership or joint ownership (including the information regarding the insured and beneficiaries) until the fulfillment of my credit (any other credit product, loan and etc.) obligation.
To be notified by the members of the Group regarding any information related to the services provided by the members of the Group.
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checkbox-ACRA_5
*
I hereby confirm that I have been notified by the members of the Group regarding the processing of personal data in accordance with the document 'General terms and conditions of banking services' posted on the official website of 'ACBA BANK' OJSC, and I agree to the processing of personal data in accordance with the procedure and conditions specified in the abovementioned document.
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checkbox-ACRA_6
*
I understand that the provided information and data, depending on their content, may influence the relevant decision made by the members of the Group.
I have read this Agreement and certify that it is completely understood and acceptable to me.
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*I confirm that I have been informed by 'ACBA BANK' OJSC that the Agreement to carry out the abovementioned requests is a mandatory condition for the submission of the loan application.
1
According to the decision of 28/04/2017 No. 27 of the Board of the Central Bank of the Republic of Armenia, 'ACBA-CREDIT AGRICOLE BANK' CJSC (address: 82-84, Aram Street, Yerevan), 'AGBA LEASING' Credit Organization CJSC (address: 10, V. Sargsyan Street, Yerevan) and 'AMUNDI-ACBA ASSET MANAGEMENT' CJSC (address: 10, V. Sargsyan Street, Yerevan) (hereinafter, each separately - members of the Group) have been qualified (recognized) as a financial group under the name 'ACBA-CREDIT AGRICOLE GROUP'. According to the decision of 14/08/2020 of the Board of 'ACBA BANK' OJSC dated , the financial group was renamed 'ACBA GROUP' financial group.
checkbox-Agree_with_agreement
*
Համաձայն եմ, որ ֆինանսական կազմակերպությունն օգտագործի մուտքագրված տվյալները ծառայություններ մատուցելու նպատակով: Ստորև հաստատում եմ, որ ծանոթ եմ «ԱԿԲԱ ԲԱՆԿ» ԲԲԸ-ում գործող
վճարային քարտերի տրամադրման և սպասարկման
պայմաններին,
American Express քարտերի տրամադրման և սպասարկման կանոններին
և
քարտի տրամադրման և սպասարկման սակագներին
(հրապարակվում են
www.acba.am
կայքում), հաստատում եմ, որ սույն դիմումում ներկայացված տեղեկությունը լիարժեք և հավաստի է: Ստորև հաստատում եմ, որ ծանոթ եմ կայքի
«Խորհուրդներ քարտապաններին»
բաժնում ներկայացվող վճարային քարտերի օգտագործմանն առնչվող հնարավոր ռիսկերին և անվտանգության կանոնների պահպանման վերաբերյալ ներկայացված խորհուրդներին:
Տեղյակ եմ, որ սույն հայտը լրացնելուց և ուղարկելուց հետո Բանկի համապատասխան աշխատակիցը կարող է կապ հաստատել ինձ հետ՝ լրացումներ, ճշտումներ կատարելու կամ քարտի առաքման ծառայության հնարավորության վերաբերյալ տեղեկատվություն տրամադրելու նպատակով։ Տեղյակ եմ, որ եթե իմ հիմնական քարտի քարտային հաշվին կցված են կից կամ լրացուցիչ քարտեր, ապա սույն դիմումի համաձայն դրանք փակվում են։
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Last Update՝ 22.05.2026