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will not be processed • Submitted documents will not be returned to the applicant FREE P3,000 P1,500 3% 5% of amount withdrawn or P500, whichever is higher 5% of overdue amount or P500, whichever is higher a) 3% of the Outstanding Balance (less installment amortization, if any) b)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.