Supplementary Card Application
Content
Share your privileges
With EastWest Supplementary Card
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]
Fax
: (02) 830-8950
Upon its approval, your EastWest Supplementary Card will be delivered to your billing address on record.
EASTWEST SUPPLEMENTARY CARD APPLICATION FORM
Please ensure to fill-out all fields in this form.
PRINCIPAL CARDHOLDER INFORMATION
Full Name
Credit Card Number (Please indicate the first 6 digits and last 4 digits of your EastWest Credit Card number.)
Reyes
Charlene
First
Francisco
Middle
Last
4 1
SUPPLEMENTARY CARD APPLICANT’S PERSONAL INFORMATION
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.
Marjorie
Francisco
Reyes
Middle
First
Last
M A R J
Birthdate
O R
(MM/DD/YY)
I E
Son/Daughter
Parent-in-Law
x
R A N C I
Gender
Morong, Rizal
01/13/91
Relationship to Principal Cardholder
Spouse
Parent
F
Place of Birth
X
Male
Female
S
X X - X X X X -3 0 0 0
SUPPLEMENTARY CARD APPLICANT’S WORK AND FINANCES
Source of Funds
Employment
Salary/Benefits
Remittance
Allowances
Retirement/Separation
Business Income
Others _______________
Position/Title
Name to appear on Card (Must not exceed 19 characters including spaces)
1
If not applicable, please write N/A
x
Full Name
6- 1
2
x
No. of Years with
Present Employer/
Business
Self-Employed
Retired
Government
Others
Private
_________________
Nature of Work
C O
Company/Business Name
Citizenship
X Filipino
Others
ACR No.
Company/Business Address
Brother/Sister
Others
Floor
No.
Bldg.
Street
Home Address
No.
Street
Village/Brgy/Municipality
Village/Brgy/Municipality
Gross Annual Income
Tax Identification Number (TIN)
SSS/GSIS Number
(If provincial, include area code)
City/Province
City/Province
Business Phone Number
Zip Code
Zip Code
Permanent Address (If no Permanent Address is declared, Home Address will be the Permanent Address.)
No.
Street
Village/Brgy/Municipality
Monthly Sub-limit*
City/Province
Zip Code
Home Phone Number
(if provincial, include area code)
Mobile Phone Number
(Unless otherwise indicated, the default monthly sub-limit is 100% of the Principal Cardholder’s credit limit.)
*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.
FOR BANK
USE ONLY
DECLARATION AND SIGNATURE
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.
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.
HR
NR
BL/WL
Signature of Principal Cardholder
PRINT DATE: March 2015
EWB-2015.04.XX.XX
CONFIDENTIAL
AML
RATING
Date
Signature of Supplementary Card Applicant
Date
Got questions?
Call
888-1700
E-mail [email protected]
Text
EWBCS<space><your message> and send to 2327
for Globe subscribers or to (0917) 890-2327 for other networks
With EastWest Supplementary Card
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]
Fax
: (02) 830-8950
Upon its approval, your EastWest Supplementary Card will be delivered to your billing address on record.
EASTWEST SUPPLEMENTARY CARD APPLICATION FORM
Please ensure to fill-out all fields in this form.
PRINCIPAL CARDHOLDER INFORMATION
Full Name
Credit Card Number (Please indicate the first 6 digits and last 4 digits of your EastWest Credit Card number.)
Reyes
Charlene
First
Francisco
Middle
Last
4 1
SUPPLEMENTARY CARD APPLICANT’S PERSONAL INFORMATION
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.
Marjorie
Francisco
Reyes
Middle
First
Last
M A R J
Birthdate
O R
(MM/DD/YY)
I E
Son/Daughter
Parent-in-Law
x
R A N C I
Gender
Morong, Rizal
01/13/91
Relationship to Principal Cardholder
Spouse
Parent
F
Place of Birth
X
Male
Female
S
X X - X X X X -3 0 0 0
SUPPLEMENTARY CARD APPLICANT’S WORK AND FINANCES
Source of Funds
Employment
Salary/Benefits
Remittance
Allowances
Retirement/Separation
Business Income
Others _______________
Position/Title
Name to appear on Card (Must not exceed 19 characters including spaces)
1
If not applicable, please write N/A
x
Full Name
6- 1
2
x
No. of Years with
Present Employer/
Business
Self-Employed
Retired
Government
Others
Private
_________________
Nature of Work
C O
Company/Business Name
Citizenship
X Filipino
Others
ACR No.
Company/Business Address
Brother/Sister
Others
Floor
No.
Bldg.
Street
Home Address
No.
Street
Village/Brgy/Municipality
Village/Brgy/Municipality
Gross Annual Income
Tax Identification Number (TIN)
SSS/GSIS Number
(If provincial, include area code)
City/Province
City/Province
Business Phone Number
Zip Code
Zip Code
Permanent Address (If no Permanent Address is declared, Home Address will be the Permanent Address.)
No.
Street
Village/Brgy/Municipality
Monthly Sub-limit*
City/Province
Zip Code
Home Phone Number
(if provincial, include area code)
Mobile Phone Number
(Unless otherwise indicated, the default monthly sub-limit is 100% of the Principal Cardholder’s credit limit.)
*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.
FOR BANK
USE ONLY
DECLARATION AND SIGNATURE
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.
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.
HR
NR
BL/WL
Signature of Principal Cardholder
PRINT DATE: March 2015
EWB-2015.04.XX.XX
CONFIDENTIAL
AML
RATING
Date
Signature of Supplementary Card Applicant
Date
Got questions?
Call
888-1700
E-mail [email protected]
Text
EWBCS<space><your message> and send to 2327
for Globe subscribers or to (0917) 890-2327 for other networks
