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Extended Settlement Plan

Application Form
Merchant Details

SriLankan Airlines Ltd

Transaction Details

Card Number Transaction Value Tenor Transaction Date Ticket Reference No

Credit Card Information


Name in the card
Contact number
Mobile number
National ID number

Application Declarations

I agree and / confirm that

1. I have read and understood the terms and conditions (Printed below and displayed on the www.americanexpress.lk website)
of the Nations Trust Bank credit card Extended Settlement Plan and agree to be bound by the terms and conditions of this
Installment plan as well as with the terms and conditions of the existing Credit Card Agreement with the Bank.
2. Acceptance of this application and the Installment amount and period granted, shall be at the sole discretion of the bank.
3. In the event of this application not being accepted by the Bank, the whole of the Installment plan amount referred to above
shall be debited to my above mentioned card account in one lump sum.
4. The initial Installment will be paid to the Bank, within one month from the date of Plan.

Signature …………………………………..

Date …………………………………..

1. This ESP offer with SriLankan Airlines Ltd 10. The cardmember may at any time repay to 15. The cardmember hereby agrees and
Limited (The merchant) will be available to the Bank the sum of all installments then authorizes the Bank to The cardmember
all American Express card members in remaining outstanding under the ESP by hereby agrees and authorizes the Bank
possession of credit cards issued by Nations notifying the Bank in writing/ fax prior to to appoint third party collection agents
Trust Bank (“NTB” or the “Bank”) only. The depositing funds to the card account. The for recovery of outstanding amounts.
Bank reserves the right to withdraw this payment may be by cheque or other means The cardmember shall pay all the costs
offer at any time to any or all cardmembers acceptable to the Bank. However requests of collection of the outstanding amounts
at its discretion. for part acceleration of the repayment of with interest, legal expenses and
2. The cardmember agrees that the Bank may installments shall not be accepted by the collection agency charges should it
at its discretion require a minimum/ Bank become necessary to refer the matter to
maximum purchase amount to qualify for 11. If the cardmember’s credit card is a collection agency to take legal action
the ESP. cancelled/ terminated/ blocked/ not to enforce payment.
3. All applications/requests for the ESP are renewed/ over limit due to default / 16. No delay or omission of the Bank in
subject to the available balance in the delinquency/ nonpayment of dues at any excising or enforcing (whether wholly or
cardmember’s card account and to time during the operation of the ESP the in part only) any right or remedy
acceptance by the Bank. total outstanding installments shall become hereunder shall impair such right or
4. Acceptance of the cardmembers immediately due and payable by the remedy of the Bank or be construed as a
application/request, the installment cardmember. No reversal can be made waiver of such right or remedy.
amount and/or period granted, shall be at once the Bank has billed the total balance. 17. The Bank accepts no responsibility in any
the sole discretion of the Bank 12. NTB reserves the right to reduce the way for any goods purchased under the
5. Once the application/request is submitted, balance available to the cardmember’s ESP and any dispute relating to same
the ESP details requested cannot be credit card account by the amount of the should be resolved by the cardmember
changed by the cardmember and NTB is total installments payable under the ESP directly with the merchant and no claim
authorized to charge such installment upon the ESP being approved by the bank by the cardmember against the
amount for such period (or such or after evaluating the cardmember’s merchant will relieve the cardmember
installment amount for such period as the account at the end of each billing cycle or from his/her repayment obligations to
Bank shall have approved and notified to any other such time. the Bank hereunder.
the cardmember ) to the cardmembers 13. The Bank shall not be liable for any 18. Unless otherwise provided herein, the
card account. Should the consequence arising out of the Bank’s Nations Trust Bank cardmember
application/request not be accepted by the failure to recover the installment due, due agreement (Cardmember’s agreement)
Bank, the cardmember agrees that the to inadequacy of funds and or credit shall apply to payments under the ESP as
amount of the total installments referred facilities provided always that if the Bank if each installment amount was a
to above shall be debited to his/ her said shall at its sole discretion decide to carry transaction charged or to be charged to
card account in one lump sum. out the cardmember’s instructions not the cardmember’s account. In the event
6. The cardmember agrees that the first withstanding such inadequacy of funds (in of any conflict arising between the terms
installment will be debited to the the absence of express instructions to the and conditions hereof and the
cardmember’s card account on such date as contrary) the Bank may do so without cardmember agreement the former shall
maybe determined by the Bank in the seeking prior approval from or notice to the prevail to the extent that the same
Bank’s sole discretion. cardmember and the cardmember shall be relates to the matters involving payment
7. All installment amounts paid are non
responsible for the resulting overdraft, under the ESP.
refundable and all goods purchased under 19. Any purchase order of goods that has
advance or credit thereby created. The
the ESP may not be exchanged/ returned/ been placed with the merchant under
Bank however shall at its sole discretion
traded in and the amount of each the ESP is irrevocable and no order
abstain from carrying out such recoveries.
installment and the installment period as 14. The Bank may at anytime without notice details can be altered.
approved by the Bank may not be varied. combine and consolidate all or any of the 20. Bankruptcy of the merchant to whom
8. The Bank is authorized to continue to debit the cardmember has made payment in
accounts held in the cardmember’s name
the cardmember’s card account in advance through the ESP shall not
irrespective of the titles they come under,
accordance with the terms and conditions release the cardmember from his/her
and or set off against the cardmembers
hereof despite any agreement between the obligations to pay the installments as
overdrawn account all or any monies
cardmember and the merchant being agreed.
whatsoever and whether on current
contrary to any of the above. 21. The membership reward points under
account, savings account or deposit
9. The amount of each installment will be the Bank’s existing reward scheme will
account and in whatsoever currency which
debited to the cardmember’s card account be awarded to the cardmember only
the Bank may at anytime hold to the
on a monthly basis and will be included as a upon due payment of each installment.
cardmember’s account at any of its offices.
transaction appearing on the statement to However the Bank shall have the
be sent to the cardmember in relation to discretion of withholding such rewards
the card account. Save where expressly points.
provided herein each installment amount
shall be treated in the same way as a
transaction charged to the card account
and shall be paid by the card member in
the same manner.

22. In the event any cardmember while making


payment under the ESP is upgraded by the
Bank (e.g.: from Green Card to Gold
Card) the remaining balance outstanding
thereunder will be transferred to the new
upgraded card.
23. Any claim, summons, advice or notice
relating to this ESP which the Bank may
desire to convey to the cardmember shall
be deemed to have been duly given to the
cardmember if given in writing by post to
the address of the cardmember last known
to the Bank.
24. The ESP and these terms and conditions
shall be construed and take effect in
accordance with laws of Sri Lanka and
proceedings shall be brought in the courts
of Sri Lanka provided always that the Bank
may if it so desires take proceedings in the
court of any other country or jurisdiction if
it thinks fit in which event the laws
applicable to that country shall apply and
the cardmember agrees to submit to such
other courts and such other laws.
25. The Bank reserves the right to impose
service fees and/ or other charges/
commissions levies on the ESP from time to
time as the Bank in its absolute discretion
deems necessary.
26. The Bank reserves the right to modify and
change all or any of the rules applicable to
the ESP at any time, without prior notice.
27. All communications should be addressed to
the Nations Trust Bank PLC American
Express Card Center, 256 Srimath
Ramanathan Mawatha, Colombo 15.
28. The ESP cannot be used in conjuncture with
any other promotion/ discount Programme.
29. In the event of any dispute or difference of
opinion regarding these Terms and
Conditions the decision of the Bank will be
final. The Bank reserves the right to
alter/amend these terms and conditions
from time to time without prior notice to
the cardmember and may notify the
cardmember of such alterations in any
manner it thinks fit (including displaying at
the Bank branches). The cardmember will
be bound by such alterations unless the
sum of all installments then remaining
outstanding under the ESP is settled in full
before the date upon which any such
alteration is to have effect.

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