BDO Credit Card Application
Content
SC IC CTP CTS
Nationality
FILIPINO N/A
Single
No. of Dependents
2
Car Ownership No. of cars owned Marital Status
Owned
Mortgaged Widow/er Separated
BASIC APPLICATION REQUIREMENTS
1. Must be 21 to 65 years old for PRINCIPAL; at least 13 years old for SUPPLEMENTARY Cardholders 2. Must be a Filipino citizen 3. Minimum Gross Fixed Annual Income of PhP120,000 4. Must have at least one landline phone 5. Residence or Office Address must be within Greater Manila Area, Bulacan, Cavite, Rizal, Laguna, Pampanga, Cebu and Iloilo.
x
Married
School Last Attended
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES - LOPEZ, QUEZON
Educational Attainment High School
DOCUMENTS REQUIRED
FOR APPLICANTS WITH EXISTING CREDIT CARD/S Photocopy of the following: 1. Latest Credit Card chargeslip (not more than 30 days from transaction date) or latest credit card statement of account; 2. Front portion of other credit card; 3. Front and back portion of valid ID with photo and signature such as: Company ID; TIN/SSS/GSIS/Pag-ibig or other government-issued ID; Philippine Passport; Driver’s License; PRC ID; 4. Photocopy of latest BIR Form 2316 signed by employer’s authorized representative (for employed) or photocopy of latest ITR and W4 with BIR stamp (for self-employed) FOR APPLICANTS WITHOUT EXISTING CREDIT CARD A. Proof of Income For EMPLOYED (Required): Photocopy of latest BIR Form 2316 signed by employer’s authorized representative AND Submit ANY ONE of the following (Optional) Original Copy of Certificate of Employment and Income (COEI) Photocopy of latest full month payslip For SELF-EMPLOYED (Required): Photocopy of latest ITR and W4 with BIR stamp AND submit the following documents: Single Proprietorship: Certificate of Registration of Business Name issued by the DTI (Dept. of Trade and Industry); OR Partnership Certificate of Registration of Business Name issued by SEC (Securities and Exchange Commission); OR Corporation Latest Amended Articles of Incorporation (AOI) Latest Amended By-Laws (BL) Certificate of filing of AOI and BL List of elected officers; AND Audited Financial Statements for the last 2 years; AND Submit the following: Bank Statements for the last 3 months B. Proof of Identification Front and back portion of a valid ID with photo and signature such as: Company ID; TIN/SSS/GSIS/Pag-ibig or other government-issued ID; Philippine Passport; Driver’s License; PRC ID; C. Proof of Billing/Residency Photocopy of ANY ONE of the following latest utility bill: Telephone Cable Electricity Internet subscription billing statement Water Or any MAJOR credit card statement Note: Submission of item C may be waived provided the preferred billing address indicated appears in the proof of income or identification documents.
• Complete the application Form (placing N/A if Not Applicable) • Applications without required documents or with incomplete information will not be processed • Submitted documents will not be returned to the applicant
x College
Post Graduate Surname
Others
Mother’s Full Maiden Name First Full Middle
GLORIFE
Spouse's Full Name
CARAIG DAGOS 1
d
ERANDIO FERRERAS 0
m
CERESCIL
Spouse's Birthdate
7
d
5
m
1
y
9
y
8
y
8
y
MY COMMUNICATION & DELIVERY INSTRUCTIONS
Home Ownership Owned by Applicant x Rented Home Address: House No. & Street District Mortgaged/Financed Company Quarters Living w/ Relatives Boarding
2ND FLR., 189 BAUTISTA ST. BAYANAN
City/Province
Zip Code Email Address [email protected]
MUNTINLUPA CITY
Residence Phone Number ( ) N/A Years at Present Address Office Address: Company Name & Dept. Mobile Number
09207561901
0.2
Years at Previous Address
0.6
PCIEERD - DOST
Floor & Bldg. Name Street & District City/Province
5TH FLOOR, SCIENCE HERITAGE BUILDING
Zip Code Email Address
DOST - COMPOUND, GEN. SANTOS AVE. BICUTAN, TAGUIG CITY
Office Phone Number (
Fax Number (
MY PERSONAL INFORMATION
My Choice of BDO Shop More MasterCard (please check one) Cool Blue Lucky Green Dazzling Orange Pretty Pink 1. If no color preference is indicated, default will be Blue for male and Pink for female 2. A BDO Gold principal can only have a BDO Gold Supplementary card.
837
)
2935
837
)
6154
Home
pcierd.dost.gov.ph x
Office
Please deliver my BDO MasterCard and Monthly Billing Statement to my:
MY WORK (for EMPLOYED)
Employment Private Sector
Gender First Name
Female Middle Name
x
Male Last Name
x
Government
Professional Position
Retired/Unemployed
PATRICK P A T R I
Birthdate
ERANDIO C K M O N T E R O
TIN
MONTERO
Name to appear on the card (Limited to 19 characters only, including spaces; alliases/nicknames are not acceptable)
Rank Senior Officer (AVP up) x Non-Officer Junior Officer (Supervisor to Manager) Job Tenure Current Job Previous Gross Annual Income
SCIENCE RESEARCH SPECIALIST II
2
yrs. yrs.
6
mos. mos.
269-932-867-000
0 9
d d
1 0
m m
1 9 8 6
y y y y
SSS/GSIS/Passport No.
P263,628
MY WORK (for SELF-EMPLOYED)
With Business Business Type Length of Business Existence Nature of Business Gross Annual Income Proprietorship Professional Partnership yrs. Corporation mos.
Relationship Spouse Parent Brother/Sister Residence Phone Number ( )
Son/Daughter
Gender Male Female
Date of Birth dd mm yyyy
Office Phone Number ( ) Surname
N/A
N/A
Mother’s Full Maiden Name First Full Middle
N/A N/A
UNDERTAKING
I/We hereby certify that all information given in this application is true and correct. I/We hereby authorize the issuer/its representatives to conduct independent verification of the information provided by me/us in connection with this application including verification of my/our employment and/or credit history with other institutions/persons. I/We understand that non-disclosure/falsification of information as herein required shall be grounds for the disapproval of my/our application, immediate termination of my/our credit card privileges once approved, and/or legal action against me/us. By signing at the back of the card/s and/or using the cards, I/We, legally and validly bind myself/ourselves to the Terms and Conditions governing the issuance and use of the BDO Credit Cards. In case of disapproval, I/We understand that Banco De Oro Universal Bank is under no obligation to notify me thereof, and to disclose the reason/s for such disapproval.
BANK RELATIONSHIP/MY FINANCES BANK RELATIONSHIP / MY FINANCES
Are you a Banco de Oro Customer? If yes: Other Loans Bank/Institution Deposit Yes Loan
x
No Others
Signature of Primary Applicant Loan Type Date Granted Monthly Amortization Maturity Date Oustanding Balance
MEMBERSHIP FEES (NO Joining Fees!)
Date
CARD FEES
FINANCE CHARGE Computed based on average daily balance Primary Supplementary P50 FREE / month 3.25% P75 / month FREE
Other Bank Accounts Bank Name/Barnch
LANDBANK OF THE PHILIPPINES
Nature or Type of Account
Account Number
BDO Shop More MasterCard
SAVINGS
1826-121153
*Membership Fee is FREE for the first year! Minimum Payment Due Cash Advance Fee Late Payment Fee 5% of the total outstanding balance or P200, whichever is higher 5% of the amount drawn or P300, whichever is higher 5% of the minimum due or P300, whichever is higher
Other Credit Cards Credit Card Card Number
Credit Limit
Outstanding Bal.
Member Since
All fees and charges are subject to change upon notice. BDOUB reserves the right to re-impose waived fees/charges. For updated information, please call the BDO Call Center at 631-8000 (within Metro Manila) or at 1-800-10-6318000, Domestic TOLL-FREE. Supplementary Sub-Limit Agreement Sub-Limit Assignment for Supplementary Cardholders begins at a minimum of PhP 2,000 and can increase in increments of PhP 1,000. If no sub-limit is assigned for Supplementary Cardholders ages 1315 years old, the Default amount will be the minimum sub-limit assignment. If no sub-limit is assigned for ages 16 and above. The Supplementary Cardholder shares in the Principal Cardholder’s credit limit.
MY PERSONAL REFERENCES
(not living with me)
PESO PAYBACK REWARDS
Your BDO MasterCard comes with a FREE SM Advantage Card to make earning and redeeming of Rewards Points faster and easier! Do you have an existing SM Advantage Card? Yes No
Name
MS. MILDRED F. CABRADILLA ADMIN OFFICER V/ EMPLOYER
Relationship
Address (P.O. Box Address not acceptable) 4TH AND 5TH FLOOR, SCIENCE HERITAGE
If Yes, please indicate your SM Advantage Card Number:
Expiry
BUILDING, DOST COMPOUND, GEN. SANTOS AVE., BICUTAN, TAGUIG CITY
Contact No. (include local no. if any) Mobile No. Name
837-2935, 837-6154
FOR BDO EMPLOYEE USE ONLY
CIF Number (If bank client only) Recommended by: Last Name Department/Unit/Branch Title/Rank First Name M.I. Branch Code Employee No.
ENGR. GERALD P. BAUTISTA PROFESSOR PUP - LOPEZ, QUEZON
Relationship
Address (P.O. Box Address not acceptable)
Contact No. (include local no. if any) Mobile No.
Remarks
09308761282
MY SUPPLEMENTARY CARDS FOR BDO USE ONLY
Notes: Notes: Surname Notes: Encoded by / Date Notes: Notes: Notes: Controlled by / Date Confirmed / Reject
Sub-Limit Assignment:
P
Sub-Limit Assignment begins at a minimum of PhP 2,000 and increments of PhP 1,000.
Complete Name (Supplementary Applicant) First Full Middle
Name to appear on the card (Limited to 19 characters only, including spaces; alliases/nicknames are not acceptable)
Nationality
FILIPINO N/A
Single
No. of Dependents
2
Car Ownership No. of cars owned Marital Status
Owned
Mortgaged Widow/er Separated
BASIC APPLICATION REQUIREMENTS
1. Must be 21 to 65 years old for PRINCIPAL; at least 13 years old for SUPPLEMENTARY Cardholders 2. Must be a Filipino citizen 3. Minimum Gross Fixed Annual Income of PhP120,000 4. Must have at least one landline phone 5. Residence or Office Address must be within Greater Manila Area, Bulacan, Cavite, Rizal, Laguna, Pampanga, Cebu and Iloilo.
x
Married
School Last Attended
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES - LOPEZ, QUEZON
Educational Attainment High School
DOCUMENTS REQUIRED
FOR APPLICANTS WITH EXISTING CREDIT CARD/S Photocopy of the following: 1. Latest Credit Card chargeslip (not more than 30 days from transaction date) or latest credit card statement of account; 2. Front portion of other credit card; 3. Front and back portion of valid ID with photo and signature such as: Company ID; TIN/SSS/GSIS/Pag-ibig or other government-issued ID; Philippine Passport; Driver’s License; PRC ID; 4. Photocopy of latest BIR Form 2316 signed by employer’s authorized representative (for employed) or photocopy of latest ITR and W4 with BIR stamp (for self-employed) FOR APPLICANTS WITHOUT EXISTING CREDIT CARD A. Proof of Income For EMPLOYED (Required): Photocopy of latest BIR Form 2316 signed by employer’s authorized representative AND Submit ANY ONE of the following (Optional) Original Copy of Certificate of Employment and Income (COEI) Photocopy of latest full month payslip For SELF-EMPLOYED (Required): Photocopy of latest ITR and W4 with BIR stamp AND submit the following documents: Single Proprietorship: Certificate of Registration of Business Name issued by the DTI (Dept. of Trade and Industry); OR Partnership Certificate of Registration of Business Name issued by SEC (Securities and Exchange Commission); OR Corporation Latest Amended Articles of Incorporation (AOI) Latest Amended By-Laws (BL) Certificate of filing of AOI and BL List of elected officers; AND Audited Financial Statements for the last 2 years; AND Submit the following: Bank Statements for the last 3 months B. Proof of Identification Front and back portion of a valid ID with photo and signature such as: Company ID; TIN/SSS/GSIS/Pag-ibig or other government-issued ID; Philippine Passport; Driver’s License; PRC ID; C. Proof of Billing/Residency Photocopy of ANY ONE of the following latest utility bill: Telephone Cable Electricity Internet subscription billing statement Water Or any MAJOR credit card statement Note: Submission of item C may be waived provided the preferred billing address indicated appears in the proof of income or identification documents.
• Complete the application Form (placing N/A if Not Applicable) • Applications without required documents or with incomplete information will not be processed • Submitted documents will not be returned to the applicant
x College
Post Graduate Surname
Others
Mother’s Full Maiden Name First Full Middle
GLORIFE
Spouse's Full Name
CARAIG DAGOS 1
d
ERANDIO FERRERAS 0
m
CERESCIL
Spouse's Birthdate
7
d
5
m
1
y
9
y
8
y
8
y
MY COMMUNICATION & DELIVERY INSTRUCTIONS
Home Ownership Owned by Applicant x Rented Home Address: House No. & Street District Mortgaged/Financed Company Quarters Living w/ Relatives Boarding
2ND FLR., 189 BAUTISTA ST. BAYANAN
City/Province
Zip Code Email Address [email protected]
MUNTINLUPA CITY
Residence Phone Number ( ) N/A Years at Present Address Office Address: Company Name & Dept. Mobile Number
09207561901
0.2
Years at Previous Address
0.6
PCIEERD - DOST
Floor & Bldg. Name Street & District City/Province
5TH FLOOR, SCIENCE HERITAGE BUILDING
Zip Code Email Address
DOST - COMPOUND, GEN. SANTOS AVE. BICUTAN, TAGUIG CITY
Office Phone Number (
Fax Number (
MY PERSONAL INFORMATION
My Choice of BDO Shop More MasterCard (please check one) Cool Blue Lucky Green Dazzling Orange Pretty Pink 1. If no color preference is indicated, default will be Blue for male and Pink for female 2. A BDO Gold principal can only have a BDO Gold Supplementary card.
837
)
2935
837
)
6154
Home
pcierd.dost.gov.ph x
Office
Please deliver my BDO MasterCard and Monthly Billing Statement to my:
MY WORK (for EMPLOYED)
Employment Private Sector
Gender First Name
Female Middle Name
x
Male Last Name
x
Government
Professional Position
Retired/Unemployed
PATRICK P A T R I
Birthdate
ERANDIO C K M O N T E R O
TIN
MONTERO
Name to appear on the card (Limited to 19 characters only, including spaces; alliases/nicknames are not acceptable)
Rank Senior Officer (AVP up) x Non-Officer Junior Officer (Supervisor to Manager) Job Tenure Current Job Previous Gross Annual Income
SCIENCE RESEARCH SPECIALIST II
2
yrs. yrs.
6
mos. mos.
269-932-867-000
0 9
d d
1 0
m m
1 9 8 6
y y y y
SSS/GSIS/Passport No.
P263,628
MY WORK (for SELF-EMPLOYED)
With Business Business Type Length of Business Existence Nature of Business Gross Annual Income Proprietorship Professional Partnership yrs. Corporation mos.
Relationship Spouse Parent Brother/Sister Residence Phone Number ( )
Son/Daughter
Gender Male Female
Date of Birth dd mm yyyy
Office Phone Number ( ) Surname
N/A
N/A
Mother’s Full Maiden Name First Full Middle
N/A N/A
UNDERTAKING
I/We hereby certify that all information given in this application is true and correct. I/We hereby authorize the issuer/its representatives to conduct independent verification of the information provided by me/us in connection with this application including verification of my/our employment and/or credit history with other institutions/persons. I/We understand that non-disclosure/falsification of information as herein required shall be grounds for the disapproval of my/our application, immediate termination of my/our credit card privileges once approved, and/or legal action against me/us. By signing at the back of the card/s and/or using the cards, I/We, legally and validly bind myself/ourselves to the Terms and Conditions governing the issuance and use of the BDO Credit Cards. In case of disapproval, I/We understand that Banco De Oro Universal Bank is under no obligation to notify me thereof, and to disclose the reason/s for such disapproval.
BANK RELATIONSHIP/MY FINANCES BANK RELATIONSHIP / MY FINANCES
Are you a Banco de Oro Customer? If yes: Other Loans Bank/Institution Deposit Yes Loan
x
No Others
Signature of Primary Applicant Loan Type Date Granted Monthly Amortization Maturity Date Oustanding Balance
MEMBERSHIP FEES (NO Joining Fees!)
Date
CARD FEES
FINANCE CHARGE Computed based on average daily balance Primary Supplementary P50 FREE / month 3.25% P75 / month FREE
Other Bank Accounts Bank Name/Barnch
LANDBANK OF THE PHILIPPINES
Nature or Type of Account
Account Number
BDO Shop More MasterCard
SAVINGS
1826-121153
*Membership Fee is FREE for the first year! Minimum Payment Due Cash Advance Fee Late Payment Fee 5% of the total outstanding balance or P200, whichever is higher 5% of the amount drawn or P300, whichever is higher 5% of the minimum due or P300, whichever is higher
Other Credit Cards Credit Card Card Number
Credit Limit
Outstanding Bal.
Member Since
All fees and charges are subject to change upon notice. BDOUB reserves the right to re-impose waived fees/charges. For updated information, please call the BDO Call Center at 631-8000 (within Metro Manila) or at 1-800-10-6318000, Domestic TOLL-FREE. Supplementary Sub-Limit Agreement Sub-Limit Assignment for Supplementary Cardholders begins at a minimum of PhP 2,000 and can increase in increments of PhP 1,000. If no sub-limit is assigned for Supplementary Cardholders ages 1315 years old, the Default amount will be the minimum sub-limit assignment. If no sub-limit is assigned for ages 16 and above. The Supplementary Cardholder shares in the Principal Cardholder’s credit limit.
MY PERSONAL REFERENCES
(not living with me)
PESO PAYBACK REWARDS
Your BDO MasterCard comes with a FREE SM Advantage Card to make earning and redeeming of Rewards Points faster and easier! Do you have an existing SM Advantage Card? Yes No
Name
MS. MILDRED F. CABRADILLA ADMIN OFFICER V/ EMPLOYER
Relationship
Address (P.O. Box Address not acceptable) 4TH AND 5TH FLOOR, SCIENCE HERITAGE
If Yes, please indicate your SM Advantage Card Number:
Expiry
BUILDING, DOST COMPOUND, GEN. SANTOS AVE., BICUTAN, TAGUIG CITY
Contact No. (include local no. if any) Mobile No. Name
837-2935, 837-6154
FOR BDO EMPLOYEE USE ONLY
CIF Number (If bank client only) Recommended by: Last Name Department/Unit/Branch Title/Rank First Name M.I. Branch Code Employee No.
ENGR. GERALD P. BAUTISTA PROFESSOR PUP - LOPEZ, QUEZON
Relationship
Address (P.O. Box Address not acceptable)
Contact No. (include local no. if any) Mobile No.
Remarks
09308761282
MY SUPPLEMENTARY CARDS FOR BDO USE ONLY
Notes: Notes: Surname Notes: Encoded by / Date Notes: Notes: Notes: Controlled by / Date Confirmed / Reject
Sub-Limit Assignment:
P
Sub-Limit Assignment begins at a minimum of PhP 2,000 and increments of PhP 1,000.
Complete Name (Supplementary Applicant) First Full Middle
Name to appear on the card (Limited to 19 characters only, including spaces; alliases/nicknames are not acceptable)
