Fuel Card Application

Application Remarks :

During the application process, please make sure the following electronic copies are ready in either JPG/BMP/PNG format (each file SHOULD BE smaller than 7 MBytes).
For individual applicants: 1) Credit card (if applicable); 2) Vehicle registration document(s); 3) Applicant's HKID; 4) Credit card holder’s HKID if card holder is not the applicant (if applicable); 5) Applicant's proof of current residence (RVD Bill preferred); 6)Driving licence.
For corporate applicants: 1) Credit card (if applicable); 2) Vehicle registration document(s); 3) Business Registration Certificate and/or Certificate of Incorporation (for limited company only); 4) Company’s owner or person in charge’s HKID; 5) Company’s owner or person in charge’s proof of current residence (RVD Bill preferred); 6) credit card holder’s HKID if card holder is not company’s owner or head person (just for credit card payment method); 7) Company’s owner or person in charge’s name card.

* Required fields

Account Type Selection

* Account Type Selection

Referral

* Please type in your referral. Check the box "N/A" if not applicable.

* Name of the Referral/Organisation

Staff/Member number(if applicable)

* N/A

Basic Information

* Salute Mr. Ms. Mrs.

* Person in charge (English)

Person in charge (Chinese)

* Position

* Company name in English

Company name in Chinese

* Telephone No.

Other Contact No.(if any)

Other Fax No.(if any)

* Email address

* Company Registered Address
*
*

Other Address (If any)

* Person in charge's HKID

* Business Registration No.

Certificate of Incorporation No.(optional)

Vehicle Information

* We hereby confirm all information provided in this application is correct.

* We hereby confirm and acknowledge the Personal Information Collection Statement..

* We hereby unconditionally and irrevocably guarantee the due payment of all amount or outstanding occurred by the above vehicles
       due to your company and to indemnify and keep your company indemnified against all loss and damages your company may suffer.
       In the event there being any breach or default or liability to pay any sum or amount to your company hereunder, I/we undertake to pay
       immediately upon demand of your company all amounts due and payable to your company.

Payment by Credit Card Other payment method (for selected applicants only)

1. There is 1.6% bank handling fee will be charged.
2. Please must inform Many Development Limited by phone and in writing immediately if credit card is lost.
3. Written notice must be sent to Many Development Limited 30 days in advance in case of cancellation or change of credit card.
Security Tips
When collecting or updating customers’ credit card information, we will only ask for the copy of the credit card front side but never
ask for backside or CVV/CVC code, if any company or person approaches you for credit card backside information, thereto do
not have any relationship and connection with us in any way. Should there be any query, please feel free to contact us.

* Credit Card No. (VISA or MASTER cards only)

* Credit Card Expiry Date (MM/YY) /

* Credit Card holder name

* Credit Card holder tel. No.

* Credit Card Issuer

(NB: Beneficiary -- Many Development Limited and/or its affiliates)

* Is the Credit Card holder the same person as the Applicant/Person in charge? Yes No

* I/We hereby confirm and acknowledge relevant payment authorization.(Y)

* I/We hereby confirm and acknowledge relevant payment authorization.(N)

Supporting Documents

Reminders : The size of each image to be uploaded SHOULD NOT be more than 7 MBytes.

* Credit Card Copy (front view)

* Vehicle Registration Copy (vehicle 1)

* Vehicle Registration Copy (vehicle 2)

* Vehicle Registration Copy (vehicle 3)

* Vehicle Registration Copy (vehicle 4)

* Vehicle Registration Copy (vehicle 5)

* Vehicle Registration Copy (vehicle 6)

* Vehicle Registration Copy (vehicle 7)

* Vehicle Registration Copy (vehicle 8)

* Vehicle Registration Copy (vehicle 9)

* Vehicle Registration Copy (vehicle 10)

* Person in charge's HKID Copy

* HKID Copy (Card Holder) (if different)

* BR Copy

CI Copy

* Address proof (within 3 months,RVD Bill preferred)

Name card of Person in charge

Driving licence

Staff or member card

CAPTCHA

* Please type in the text as shown in the following picture,

[ Different Image ]

Remark: The fuel prices are subject to change according to the adjustment of the published list price announced by Shell Hong Kong Limited. For the latest list price, please visit the website of Shell HK at http://www.shell.com.hk

	* License Plate No. 1	Type of Fuel
	* License Plate No. 2	Type of Fuel
	* License Plate No. 3	Type of Fuel
	* License Plate No. 4	Type of Fuel
	* License Plate No. 5	Type of Fuel
	* License Plate No. 6	Type of Fuel
	* License Plate No. 7	Type of Fuel
	* License Plate No. 8	Type of Fuel
	* License Plate No. 9	Type of Fuel
	* License Plate No.10	Type of Fuel