Additional Credit Card Request
PRIMARY CARDHOLDER’S DETAILS
Your title:
Your account number:
First name:
■■■■ ■■■■ ■■■■ ■■■■
I understand that:
Middle name:
I authorise the fulfilment of the attached request(s) to set up the
nominated people specified in section 2.
Last name:
Date of birth:
/
There is no annual fee ($0) charged for each Additional No Annual
Fee Card
/
There is an annual fee of $29 for each Additional Low Rate Card
Mother’s maiden name:
There is an annual fee of $39 for each Additional Flyer Card
There is an annual fee of $89 for each Additional High Flyer Card
Where you live
(Have you moved recently? Give us a call on 13 37 39 and we’ll update
your records.)
The Primary Cardholder is responsible for all debts incurred by the
Additional Cardholder(s). Additional Cards cannot be issued to
individuals under 16 years of age.
The Card may be cancelled at any time by phoning Virgin Money. This
may not be effective until the Additional Card has been surrendered to
Virgin Money or Citi (the issuer) or the Primary Cardholder has taken all
reasonable steps to have the Additional Card returned to Virgin Money or
Citi (the issuer).
Number:
Street:
Suburb:
State:Postcode:
Your signature:
Date:
Home phone number:
/
Mobile number:
/
ADDITIONAL CARDHOLDERS’ INFORMATION
ADDITIONAL CARDHOLDER 1
ADDITIONAL CARDHOLDER 2
Their title:
First name:
Their title:
First name:
Middle name:
Last name:
Middle name:
Last name:
Mother’s maiden name:
Date of birth:
Date of birth:
/
/
/
/
Mother’s maiden name:
Nationality:Occupation:
Nationality:Occupation:
Where they live
Where they live
Number:Street:
Number:Street:
Suburb:
State:Postcode:
Home phone:
Mobile:
Additional cardholder’s signature:
Suburb:
State:Postcode:
Home phone:
Mobile:
Additional cardholder’s signature:
ADDITIONAL CARDHOLDER 3
ADDITIONAL CARDHOLDER 4
Their title:
First name:
Their title:
First name:
Middle name:
Last name:
Middle name:
Last name:
Mother’s maiden name:
Date of birth:
Date of birth:
/
/
/
/
Mother’s maiden name:
Nationality:Occupation:
Nationality:Occupation:
Where they live
Where they live
Number:Street:
Number:Street:
Suburb:
Home phone:
State:Postcode:
Mobile:
Additional cardholder’s signature:
Suburb:
Home phone:
State:Postcode:
Mobile:
Additional cardholder’s signature:
It’s easy to order an additional Virgin Money Credit Card. All you have to do is: 1. Complete this Form. 2. Fax to 1300 301 249 OR mail
to Virgin Money, GPO Box 1625, Sydney NSW 2001. Any questions? We’re here to help, so just give us a call on 13 37 39.
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PRIVACY CONSENT AND NOTIFICATIONS
In this section ‘we/us’ means Citigroup Pty Limited (“Citibank”) and
Virgin Money (Australia) Pty Limited (“Virgin Money”) and each of
our related companies that assist us to provide our services and
‘you/your’ means all cardholders named in this request.
By submitting this request, you consent as follows:
How do we collect, use and disclose your personal
information?
1.We collect, use and disclose your personal information so
that either one of us can:
• identify you, conduct checks, understand your requirements,
and set up, administer and manage our products and services;
• manage, train and develop our employees and
representatives;
• manage complaints and disputes, and deal with dispute
resolution bodies;
get a better understanding of you, your needs, your
• behaviours and how you interact with us, so we can engage
in product and service research, development and business
strategy including managing the delivery of our services
and products via the ways we communicate with you;
• comply with applicable laws both in Australia and overseas
including (a) the National Consumer Credit Protection Act;
(b) the Anti-Money Laundering and Counter-Terrorism
Financing Act; (c) Income Tax Assessment Acts, Tax
Administration Act and A New Tax System (Goods and
Services Tax) Act; (d) State and Territory property legislation
and other property-related laws (for example, to register
and search for security interests) which may authorise or
require us to collect your personal information; and
• use it for other purposes as listed in our Privacy Policies.
• your telephone calls and conversations with our
representative may be recorded and monitored for
quality, training and verification purposes.
If you do not provide us with the information we may not
be able to process your request or administer the products
or services that you are seeking.
We usually collect your personal information directly from
2.
you. However, we may need to collect personal information
about you from third parties for example, in order to assist us
to process your request or to locate or communicate with you.
3.
Where you have provided information about another
individual, you must make them aware of that fact and the
contents of this Privacy Consent and Notification, and have
obtained their consent to make this disclosure to us.
Disclosures of your personal information
4.We may disclose to, and obtain personal information about
you from:
• Our affiliates and partners;
•
reward providers including Airline partners and their
service providers;
•
other credit providers including for reference and
collection purposes;
• government, statutory, enforcement, regulatory and tax
authorities or bodies in Australia and overseas;
• any other external dispute resolution body;
• organisations wishing to acquire an interest in any part of our
business for assessing or implementing any such acquisition;
• organisations that carry out functions on our behalf including
card schemes, mailing houses, researchers, data warehouses,
administration or business management services, specialised
data matching and trending service providers, consultants,
auditors, marketing service providers, data and document
management providers and collection agents;
• any entity where disclosure to, or collection from, such
entity is required or authorised by law; and
• further set out in our Privacy Policies.
We’ll use a variety of methods to collect personal
information from, and disclose your personal information
to, these persons and organisations, including written
forms, telephone calls and via electronic delivery. We may
collect and disclose your personal information to these
persons and organisations during the information life cycle,
regularly, or on an ad hoc basis, depending on the purpose
of collection.
Disclosures to overseas recipients
5.Some of the recipients to whom we disclose your personal
information may be based overseas. It is not practicable to
list every country in which such recipients are located but
it is likely that such countries will include the United States
of America, India, the Philippines, Malaysia, Hong Kong and
Singapore. By consenting to us disclosing your personal
information to overseas recipients, you agree that Australian
Privacy Principle 8.1 shall not apply to the disclosure,
meaning that we will not be obliged under the Privacy Act
to ensure that an overseas recipient does not breach the
Australian Privacy Principles and we will not be liable under
the Privacy Act if the recipient does not act consistently
with the Australian Privacy Principles. By completing this
application you consent to such overseas disclosures.
Our Policies (including how to access and correct
information and make a complaint)
6.You can view our Privacy Policy on our website at https://
my.virginmoney.com.au/privacy/ or obtain copies by
calling us. This policy includes information as to how
you can access and/or seek correction of the personal
information we hold about you. Our Privacy Policy also
contain information as to how you can complain about
a breach by us of the Privacy Act (including the credit
reporting provisions in Part IIIA and the Credit Reporting
Code) and how we will deal with such a complaint.
Your Marketing Communications Preferences
7.By completing this application you agree that Virgin Money,
its affiliate companies and their partners may use your
personal information to keep you informed about offers
relating to this product and other products, services and
offers which may be of interest to you. They may do this by
phone, mail, email and SMS or other electronic messages.
These consents operate indefinitely and shall remain in
effect unless and until you notify us that you do not want
to receive such communications. If you do not wish to
receive these communications please notify us in writing
or by calling us. Note: If you have not told us that you do
not wish to receive these communications by phone, you
may be contacted even if you have registered your phone
number on the national Do Not Call Register.
Verification
8.
Your telephone calls and conversations with a Citibank
or Virgin Money representative may be recorded and
monitored for quality, training and verification purposes.
Contacting us
9.
lf you wish to find out more information, or raise any
specific or general concerns about us and our Privacy
Policies, the contact details are as follows:
Citibank
PO Box 204, Sydney NSW 2001
Telephone: 13 24 84
Email: privacy.officer@citi.com.au
Virgin Money
Privacy Officer, Level 8, 126 Phillip Street Sydney, NSW 2000
Telephone: 13 37 39
Email: privacy@virginmoney.com.au
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