The information you provide in this form will be used to verify and update the details listed on your American Express® Card Account issued by AMEX (Middle East) B.S.C. (c).
This information will not be shared with or sold to any third party and will be handled in a confidential manner. This information may be used for further verification and authentication
before it is updated against your previous available details with us. If updated after validation, this information will become effective within one month from the date of receipt.
1. Important InstructIons
amerIcan express® cardmember InformatIon update form
Thank you for taking the time to complete the American Express® Information Update Form. We request you to carefully read the
instructions, fill in the below details (in English) and sign on the Declaration Statement to indicate your acceptance.
Valid Basic American Express Card No(s). issued by AMEX (Middle East) B.S.C. (c)
(Tick Here) I certify that the following information stated in this form will apply to all Card Numbers listed.
Date of Birth
ID No. (CPR, Tabia, Work Permit, Drivers Licence or Civil ID)
2. about Yourself
Tick here if Billing Address is the same as Residential Address
Home Tel. No. (with area code)
Mobile Tel. No. (with area code)
Other Tel. No. (with area code)
3. contact detaIls (current)
I hereby declare that the information provided by me in this form is true and correct and I am aware that it will be used to verify and update the details listed on all
the American Express® Card number(s) issued by AMEX (Middle East) B.S.C. (c) (“AEME”) which I have indicated above. I further declare that I shall promptly advise AEME if there are
any changes to this information. I am aware that the above information is critica