supplementary card application
DESCRIPTION
credit card application formTRANSCRIPT
With EastWest Supplementary CardShare your privileges
Share your spending privileges with your loved ones by giving them an EastWest Supplementary Card. You may request for up to nine (9) supplementary cards and assign a monthly sub-limit* for each to better manage your finances.
To apply, simply submit a completely filled-out EastWest Supplementary Card Application Form together with a photocopy of one (1) valid ID with picture and signature of the supplementary card applicant (e.g. Company ID, Driver's License, Passport, Professional Regulation Commission (PRC) ID, SSS ID, BIR ID, School ID, etc.) through any of the following:
E-mail: [email protected] : (02) 830-8950
Upon its approval, your EastWest Supplementary Card will be delivered to your billing address on record.
EASTWEST SUPPLEMENTARY CARD APPLICATION FORM
First Middle Last
Full Name Credit Card Number (Please indicate the first 6 digits and last 4 digits of your EastWest Credit Card number.)
Name to appear on Card (Must not exceed 19 characters including spaces)
Important note: Must be at least 13 years old if related to the principal applicant within second degree of consanguinity. If not related, must be at least 16 years old.
SUPPLEMENTARY CARD APPLICANT’S PERSONAL INFORMATION
Full Name
First Middle Last
Relationship to Principal CardholderSpouseParent
Son/DaughterParent-in-Law
Brother/SisterOthers
Monthly Sub-limit*(Unless otherwise indicated, the default monthly sub-limit is 100% of the Principal Cardholder’s credit limit.)
Birthdate (MM/DD/YY) GenderMaleFemale
Home Address
No. Street Village/Brgy/Municipality
City/Province Zip Code
(If no Permanent Address is declared, Home Address will be the Permanent Address.)Permanent Address
No. Street Village/Brgy/Municipality
City/Province Zip Code
Tax Identification Number (TIN) SSS/GSIS Number
CitizenshipFilipinoOthersACR No.
Mobile Phone NumberHome Phone Number(if provincial, include area code)
Employment
Self-Employed
Government
Private
Retired
Others
_________________
No. of Years withPresent Employer/Business
Position/Title Nature of Work
Company/Business Name
Company/Business Address
Floor Bldg. Street
City/Province Zip Code
No.
Village/Brgy/Municipality
Gross Annual IncomeBusiness Phone Number(If provincial, include area code)
*The assigned monthly sub-limit on the EastWest Supplementary Card (”Supplementary Card”) is not separate from and forms part of the Principal Cardholder’s credit limit. Minimum monthly sub-limit for supplementary is Php2,500, except for EastWest EveryDay MasterCard with minimum monthly sub-limit of Php10,000. The assigned sub-limit is the same every month even if the Supplementary Card transactions in previous months are not paid in full, for as long as the Principal Cardholder has an available credit limit.
PRINCIPAL CARDHOLDER INFORMATION
Got questions?Call 888-1700E-mail [email protected] EWBCS<space><your message> and send to 2327
for Globe subscribers or to (0917) 890-2327 for other networks
PRINT DATE: March 2015EWB-2015.04.XX.XX
CONFIDENTIAL
Place of Birth
- --
I/We hereby certify that the information given herein is true and correct. I/We agree that the issuance and use of the Supplementary Card/s is subject to the Bank’s credit policies and shall be governed by the Credit Card Terms and Conditions. In case this application is disapproved, I/we acknowledge that EastWest is not obliged to advise me/us of the disapproval. I/We understand and agree that EastWest may be required to report my/our account/s and transaction/s including the handling thereof, to the Bangko Sentral ng Pilipinas, Anti-Money Laundering Council, Bankers Association of the Philippines, credit information bureaus or any other central monitoring body. I/We further agree that the Bank may activate the Supplementary Card upon approval or at a later time subject to its policies and procedures. As the Principal Cardholder, I shall be sharing my credit limit with my Supplementary Card/s and shall be liable for all transactions made and cash advances obtained, including all charges incurred through the use of the Supplementary Card/s regardless of any dispute/s between my Supplementary Cardholder/s and whether the Supplementary Card/s were used without my consent.
Signature of Principal Cardholder Signature of Supplementary Card Applicant
My/Our signature in this Application Form shall also constitute as my/our written request for the availment of other product/s of EastWest such as, but not limited to, other credit cards, loans, credit facilities, etc. Should I/we be qualified for such other EastWest product/s based on the information provided herein, I/we am/are willing to submit all other necessary requirements for the product/s applied for, if necessary. By signing this Application Form, I/we am/are also consenting to the sending of offers of other EastWest product/s at my/our address/es indicated herein at any time. I/we further request that product offers be sent to me/us by mail, email, text, call or thru any other means. I/We understand that my/our use/availment of such other EastWest product/s will be solely at my/our option.
SUPPLEMENTARY CARD APPLICANT’S WORK AND FINANCESIf not applicable, please write N/A
DECLARATION AND SIGNATURE
Date Date
X X X X X X
Please ensure to fill-out all fields in this form.
Salary/Benefits
Allowances
Remittance
Business Income
Retirement/Separation
Others _______________
Source of Funds
AMLRATING
HR
NR
FOR BANKUSE ONLY
BL/WL