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Card Authorization Form
"I need a Card Authorization Form for my Singapore-based medical clinic that allows us to charge patients' cards for recurring monthly treatments, with a maximum transaction limit of $5,000 per month, starting from March 2025."
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
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