App form FA - American Express

advertisement
REQUIREMENTS
BASIC APPLICATION REQUIREMENTS
1. Must be 21 to 70 years old for BASIC CARDMEMBERS; at least 13 years old for
SUPPLEMENTARY CARDMEMBERS
2. Must be a Filipino citizen or a foreigner who is a permanent resident in the
Philippines for the last 2 years
3. Minimum Gross Annual Fixed Income Requirement of P420,000
4. Must be a regular employee or if self-employed with business operating for
at least 2 years
5. Must have at least one landline phone
6. Residence or Office Address must be within any area where a BDO branch is located
FEES AND CHARGES
Annual Membership Fee
First Year
Succeeding Year
Basic
Supplementary
Monthly EIR1
Cash Advance Fee2
DOCUMENTS REQUIRED
A. PROOF OF IDENTIFICATION FOR BOTH BASIC AND SUPPLEMENTARY
APPLICANTS
FILIPINO
Any one of the following valid photo-bearing identification document* (front and
back):
1. Company ID, if company is SEC, IC or BSP supervised / registered
2. Passport
3. Driver’s License
4. SSS ID (photo-bearing plastic card type with scanned signature)
5. TIN Card (photo-bearing plastic card type)
6. PhilHealth Card
7. GSIS ID
8. PRC ID
9. Voter’s ID
10. All other IDs issued by the Philippine government and its instrumentalities
* Supplementary applicants who are studying may submit a valid school ID instead.
Late Payment Charge
Minimum Amount Due
Sales Slip
Retrieval Fee
EMPLOYED APPLICANTS
1. Photocopy of latest Income Tax Return (ITR) duly stamped as received by the
Bureau of Internal Revenue (BIR) or BIR Form 2316 signed by employer’s
authorized representative (MANDATORY)
Lost Card
Replacement Fee
Foreign Exchange
Conversion Rate
PLUS any of the following:
- Latest full-month’s payslip/s
- Original Certificate of Employment indicating status, service tenure, and
compensation breakdown
SELF-EMPLOYED APPLICANTS
1. Photocopy of latest Income Tax Return (ITR) duly stamped as received by the
Bureau of Internal Revenue (BIR) and Audited Financial Statements for at least
two (2) years (MANDATORY)
2. Photocopy of registration of Business Name (MANDATORY):
- Single Proprietorship: DTI Registration
- Partnership / Corporation: SEC Registration
3. Latest 3 months’ bank statements (OPTIONAL)
NOTE:
• 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
FREE
P3,000
P1,500
3%
5% of amount withdrawn or
P500, whichever is higher
5% of overdue amount or
P500, whichever is higher
a) 3% of the Outstanding Balance
(less installment amortization,
if any)
b) Installment amortizations
c) Overdue amount
d) Overlimit amount; or Php 200,
whichever is higher
P250 for each slip retrieved
for local transactions and
P450 each for international
transactions
FOREIGNERS
Any one of the following valid documents:
1. Valid VISA and work permit
2. Alien Certificate of Registration (ACR) or Immigrant Certificate or Registration
(ICR) or ACR-I
3. Valid passport with any of the following:
- Special Investor’s Resident VISA
- Special Non-Immigrant VISA for PEZA investors and employees
- VISA with EO226
B. PROOF OF INCOME
PRIVILEGES AND BENEFITS
P400 for each card
For foreign charges converted using
the prevailing foreign exchange rate
of American Express at the time of
posting, a conversion factor of 2%
will be applied to the converted
amount, of which 1% is retained
by American Express. Any charges
converted by third parties prior to
being submitted to us have been
at rates selected by them.
Installment Acceleration
Fee
5% of remaining balance or
P300, whichever is higher
Returned Check Fee/
Automatic Debit
Arrangement (ADA) Fee
P1,000 per returned check
or insufficient ADA account
1 Effective Interest Rate
2 Effective Interest Rate for Cash Advance will vary depending on the amount of transactions made within the
statement cycle. Non-payment of full amount will incur additional charges on the next cycle date.
All fees and charges subject to change upon notice. BDO reserves the right to re-impose waived fees/charges.
For updated information, please contact American Express Customer Service Hotline at 631-8000 (within Metro
Manila) or at 1-800-10-6318000 (Domestic Toll-Free).
American Express is a trademark of American Express. This Card is issued by BDO pursuant to a license from American Express.
With the new American Express® Cashback Credit Card you
can enjoy 1% cashback on your local purchases and 2%
cashback on your overseas purchases, 24/7, 365 days.
No minimum spend, no rebate cap.
First Year Annual Fee Waiver
Enjoy COMPLIMENTARY Annual Membership for the first year
both for Basic and Supplementary Cardmembers.
No minimum spend. No rebate cap.
Just maximum cashback.
American Express Selects®
Around the corner. Around the world. Great offers are waiting.
American Express Selects® provides a wide range of offers
exclusively for American Express Cardmembers. Visit
amexnetwork.com/selects to view offers from around the
globe in travel, dining, shopping, and entertainment.
Bring along your American Express Cashback Credit Card
anywhere you go and receive exclusive benefits reserved
only for you.
Taste from American Express Invites
Fine Food at Your Fingertips
Taste from American Express Invites brings your local
favourites from all over the world – specially chosen by
our dining experts. Each restaurant offers Cardmembers
something extra on the house: either a discount,
complimentary wine or appetizer.
Introducing the NEW
American Express Cashback Credit Card
®
Visit amexdiningprogram.com to view the restaurants.
Global Assist
If you are on a trip and find yourself or a family member in
need of emergency assistance, the American Express Global
Assist team will be able to offer you immediate personal
advice on the phone. They can connect you to an
English-speaking doctor who will refer you to a clinic or a
hospital, or to an English-speaking lawyer who can assist
with your legal inquiries.
Earn 1% cashback on all local purchases
and 2% cashback on overseas purchases.
Apply NOW!
Existing BDO Credit Cardholder
Existing Credit Cardholder with other banks
APPLICATION FORM
All details should be completely filled out in English and in BLOCK letters. Please personally submit completed
Application Form and requirements to any BDO branch near you.
PERSONAL / TRADE REFERENCES
COMMUNICATION & DELIVERY INSTRUCTIONS
Home Ownership
Owned by Applicant
Mortgaged / Financed
Living with Relatives
Rented
Company Quarters
Boarding
Relationship
Company Name / Address (P.O. Box address not acceptable)
Present Address: House No. & Street
UNDERTAKING
District / City
Province
* P2.50 charge for Globe & Smart, P2.00 charge for Sun Subscribers.
Residence Phone Number (
Mobile Number (
PERSONAL INFORMATION
)
Mobile Number
)
Post Paid
Permanent Address: House No. & Street
First Name
Middle Name
Last Name
Province
Country
Length of Stay: Present: Yrs
Mos
Previous: Yrs
Mos
Place of Birth
SSS/GSIS No. (If Filipino)
TIN
Spouse / In - Law
Floor & Bldg. Name
ACR No./Passport No. (If Foreign National)
Mortgaged
Civil Status:
Single
Married
Separated
Owned
Widow/er
School Last Attended:
Educational Attainment:
College
Post Graduate
Mother’s Full Maiden Name:
First Name
Middle Name
Last Name
First Name
Middle Name
Last Name
)
Fax Number
(
)
First Name
Middle Name
Last Name
Office Address
Personal
Business / Office
Others
Are you related to a BDO Employee?
Yes
Self-Employed (Business)
Retired /
Unemployed
Others
Junior Officer
(Supervisor to Manager)
Relationship
Spouse / In - Law
Child / In - Law
Parent / In - Law
Others
Senior Officer
(AVP up)
TIN
SSS/GSIS No. (If Filipino)
ACR No./Passport No. (If Foreign National)
Last Name
Province
Country
Zip Code
Residence Phone Number (
Mobile Number
Current Job / Business: Yrs
Previous Job / Business: Yrs
Mos
Mos
I/We hold ourselves, jointly and severally liable for all obligations and liabilities incurred with the use of
the American Express Credit Card and extension cards. The entire unpaid obligation and all other fees,
charges, and amounts payable to BDO under the Terms and Conditions shall become due and payable
without demand, protest, or further notice of any kind, all of which will be deemed expressly waived by
me/us. Any action made by BDO which may be construed as demand or notice, shall not in any way serve
as an amendment or modification of this provision. In case of disapproval, I/We understand the BDO is
under no obligation to disclose the reason/s for such disapproval. I understand, as Basic Cardmember, I
shall be sharing my Credit Limit to the Supplementary Cardmember/s and shall be liable for all the
purchases and cash advances made, including all interest and charges incurred through the use of
supplementary card/s.
(
)
The accomplished form and requirement/s submitted becomes the property of BDO. BDO is under no
obligation to return the said documents to me/us regardless of the outcome of the application.
)
Post Paid
Prepaid
Permanent Address: House No. & Street
BASIC APPLICANT’S SIGNATURE
Barangay
District / City
Source of Funds
For Employed: Rank
Province
Junior Officer (Supervisor to Manager)
Senior Officer (AVP up)
Signature Over Printed Name
Country
Date
SUPPLEMENTARY APPLICANT’S SIGNATURE
Zip Code
Office Details: Company Name
Partnership
Office Address
Corporation
Are you a BDO customer?
Yes
No
If yes:
Credit Cards
Deposit
Loan
Card Number*
Credit
Limit
Outstanding
Balance
Signature Over Printed Name
Office Phone Number (
Others
Member
Since
Private
Government
Self-Employed (Business)
Self-Employed
(Professional)
Retired /
Unemployed
Others
Source of Funds
Signature Over Printed Name
Junior Officer
(Supervisor to Manager)
For Self-Employed: Business Type
Single Proprietorship
By signing in this section, I agree that this Application Form shall also serve as my application for the
issuance of BDO Credit Card/s in addition to the credit card/s applied for in this Application Form as I
may subsequently request from BDO or if deemed qualified by BDO. I undertake to submit additional
documents as may be required by BDO. I understand that the issuance of additional BDO Credit Card/s
shall be subject to credit evaluation and discretion of BDO. I understand that BDO can rely on the
authority given under this section unless otherwise revoked by me.
BASIC APPLICANT’S SIGNATURE
Nature of Business
Position / Title
For Employed: Rank
Non- Officer
* Please provide only the first six (6) and last four (4) digits of your credit card
(e.g. 3776-72XXXX-XX1234)
Date
)
Business / Office e-Mail Address
Employment
BDO Credit Cards / Other Credit Cards
Credit Card
Company
Middle Name
Personal e-Mail Address
FINANCIAL DETAILS / BANK RELATIONSHIP
If yes:
Citizenship
District / City
Government
Nature of Business
Job / Business Tenure
No
Name of Employee
I hereby authorize the transfer, disclosure and communication of any information relating to my accounts
with BDO to any offices, branches, subsidiaries, affiliates, agents and representatives of BDO and third
selected by any of them for data processing/storage, customer satisfaction surveys, product and service
offers made to me through mail/e-mail/fax/SMS or telephone, and for any other purposes as BDO may
deem appropriate, and as may be required by law or regulation. I hereby authorize the regular
submission and disclosure to any and all credit information service providers such as, but not limited to,
Credit Card Association of the Philippines, Credit Information Corporation, of any information, whether
positive or negative relating to basic credit data as defined under R.A. No. 9510 with BDO as well as any
updates or corrections thereof. The foregoing constitutes my written consent for any such submission
and disclosure of information relating to my accounts for the purpose indicated above and under
applicable laws, rules and regulations. I agree to hold BDO free and harmless from any liabilities that may
arise from any transfer, disclosure or storage of information relating to my accounts.
Others
Place of Birth:
Barangay
EMPLOYMENT / BUSINESS INFORMATION
Employment
Private
Position / Title
For Self-Employed: Business Type
Single Proprietorship
BDO REFERENCES
Parent / In - Law
Present Address: House No. & Street
Home Address
Non- Officer
Date of Birth (mm/dd/yyyy)
Child / In - Law
Date of Birth (mm/dd/yyyy)
Mother’s Full Maiden Name
First Name
Business / Office e-Mail Address
Please deliver my American Express Credit Card Monthly Billing Statement (MBS) to:
Gross Annual Income
Spouse’s Full Name:
Non-Officer
(
Self-Employed
(Professional)
Father’s Full Name:
Rank
Zip Code
Office Phone Number
e-Mail:
High School
I/We hereby agree to waive my/our rights regarding the confidentiality of deposits under R.A. 1405, as
amended, as the disclosure is necessary and relevant in the evaluation of my/our application, and as it
may be required by applicable rules and laws, and to ensure a successful debit under an Auto Debit
Payment Arrangement with my/our BDO Bank account should I/we decide to avail of the Auto Debit
Payment Facility for my/our American Express Credit Card. I/We further authorize and consent BDO
Unibank, Inc. (BDO) to be the recipient of these information. I further authorize BDO to conduct random
verification with the BIR, any other appropriate government agencies or third parties including banks and
financial institutions to establish authenticity of the information declared and documents submitted (e.g.
bank statements, certificate of employment, payslips and income tax return) in relation to my application
as it may be necessary for processing and evaluating my application and hereby further waive
confidentiality rules and laws as applicable.
Last Name
Street & District
City / Province
Car ownership: No. of cars owned
Male
Relationship
Office Address: Company Name & Dept.
No. of Dependents
Female
P
Middle Name
Name to appear on the card (Limited to 19 characters only, including spaces;
aliases/nicknames are not acceptable)
District / City
Zip Code
Citizenship
Gender
Sub-Limit Assignment*
First Name
Barangay
Name to appear on the card (Limited to 19 characters only, including spaces;
aliases/nicknames are not acceptable)
Date of Birth (mm/dd/yyyy)
SUPPLEMENTARY CARD
Prepaid
Personal e-mail Address
Male
By signing below and or at the back of the American Express Credit Card, and/or by using the American
Express Credit Card, I/we have agreed to abide by the Terms and Conditions Governing the Issuance and
Use of the American Express Credit Card issued to me/us and all future amendments thereto. I/We
hereby certify that all information and documents given in this application are true and correct. I/We
hereby certify that non-disclosure and/or falsification of information and documents 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.
Contact Number (Include local number, if any)
Country
Zip Code
Female
Sub-Limit assignment for Supplementary Cardmembers begins at a minimum of P2,000 and can increase
in increments of P1,000. If no sub-limit is assigned for Supplementary Cardmembers ages 13-15 years old,
the default amount will be the minimum sub-limit assignment. If no sub-limit is assigned for those ages 16
and above, the Supplementary Cardmember shares in the Basic Cardmember’s Credit Limit.
Contact Person / Position
Barangay
Apply via SMS just type:
BDOCC<SPACE>APPLY<SPACE>LAST NAME/FIRST NAME/MIDDLE INITIAL
then send to 2256*.
Example: BDOCC APPLY GONZALES/JANE/A
Gender:
SUPPLEMENTARY SUB-LIMIT ASSIGNMENT
Personal references NOT living with you:
Partnership
Corporation
Senior Officer
(AVP up)
Date
Should there be more than one supplementary card request, kindly attach a fully-accomplished
supplementary application form.
Download