Add an Additional Cardholder

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Additional cardholder application form

Share the convenience, enjoy the flexibility

Why adding additional cardholders makes sense

There’s no extra cost – you can add up to three additional cardholders to your account at no extra cost. This means you can give your spouse/partner, son or daughter a credit card each and they can avail of all the benefits a Bank of

Ireland credit card offers too!

It saves you money – you may have three additional cardholders but you’ll still pay just one Government stamp duty fee of €30 every year, that’s a potential saving of up to

€90. This assumes that you apply for three additional cards instead of your family members opening three new credit card accounts.

It’s simple to manage - you’ll still get just one statement each month detailing all transactions. The principle cardholder remains solely liable for all transactions made and charges incurred by additional cardholders. Additional cardholders do not receive credit card account statements but can make balance and transaction enquiries via

1890 251 251. Additional cardholders cannot use 365 online or 365 phone services.

It’s easy to set up – simply complete the form overleaf and submit along with the relevant identification documents (if required) to your local Bank of Ireland branch. Alternatively return it by post to Bank of Ireland Card Services, PO Box

1102, Dublin 2.

1890 251 251 www.bankofireland.com

Terms and conditions apply.

Bank of Ireland is regulated by the Central Bank of Ireland.

Page 1 of 3

37-1172R.1(03/13)

Additional cardholder application form

PLEASE COMPLETE IN BLOCK CAPITALS

I, being the principal cardholder of the credit card listed hereunder, hereby authorise and request you to issue, in accordance with the Credit Card

Conditions of Use and in particular the additional cardholders condition, an additional credit card and a Personal Identification Number (PIN) to the person named below for use on my credit card account. I accept and agree that I will be fully liable for all transactions and charges on my credit card account, including any transactions made or charges incurred by any additional cardholder. I accept and agree that I bear sole responsibility for use of any additional credit card by any additional cardholder nominated by me and for any breach by such person of the Credit Card Conditions of

Use as issued with the additional credit card (as may be amended from time to time) and I agree to indemnify the Bank for any loss that may arise in connection with same.

Credit card number:

(mandatory) Relationship to you:

Spouse Partner Child

I confirm that the additional cardholder lives at my address

Principal cardholder’s signature:

Sign here

Parent Sibling

Note: Additional cardholders must be over

18 years of age and must live at the primary cardholder address.

To be completed by additional cardholder

Name to appear on additional card:

First Name:

Gender: Male Female

Surname:

Date of birth: D D M M 1 9 Y Y

Additional carholder’s signature: I accept and agree to be bound by the Credit Card Conditions of Use, as issued with the additional

Credit Card and as may be amended from time to time. To enable the Bank to meet its obligations, I agree to furnish the Bank with evidence of identity and permanent residence as required and agree that any documentation required to establish such identity, may at any time be passed to any member of the Bank of Ireland Group for this purpose.

Sign here

Please complete all sections 37-1172R.1(03/13) Page 2 of 3

Additional cardholder application form

For branch use only

Date D D M M 2

Customer credit grade:

0 Y Y

RDC:

Branch contact:

Branch NSC (NB for FIR credit)

NSC:

Branch recommendation:

UND G

I confirm that the details provided on the application are accurate:

Authorised signature:

Sign here

For PL use only - ICB:

Application number:

UNT

Signature number:

Additional Cardholder (AML)

M/L: Existing Bank of Ireland Group customer at 02/05/1995?

Personal identification:

Address identification:

Yes No

C

If “No”, details of identification documentation received, and held, on opening branch account:

Account number:

ML screen created: D D M M Y Y Y Y

If non BOI customer, full copies of M/L attached:

Credit card number:

18 years of age or over: Yes

Branch comments

Additional cardholder lives at primary cardholder address:

Yes

Please complete all sections 37-1172R.1(03/13) Page 3 of 3

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