Professional Documents
Culture Documents
Eastwest Credit Card Application Form: X X X X X X
Eastwest Credit Card Application Form: X X X X X X
To apply, submit completely filled-out Credit Card Application Form & documentary requirements via e-mail to [email protected].
MY EASTWEST CREDIT CARD OF CHOICE (Please choose one) □ EastWest Platinum Mastercard □ EastWest Dolce Vita Titanium Mastercard □ EastWest Classic Mastercard □ Hyundai Mastercard
Depending on EastWest’s evaluation, you may receive a card type other than your □ EastWest Visa Platinum □ EastWest Gold Mastercard □ EastWest Visa Classic □ Other Cards
choice. □ EastWest EveryDay Titanium Mastercard □ EastWest Visa Gold □ EastWest Practical Mastercard ________________
EASTWEST CREDIT CARD NUMBER
ARE YOU AN
Yes □ Depositor No □ ARE YOU AN EXISTING PRINCIPAL
EXISTING
EASTWEST CLIENT?
□ Borrower EASTWEST CREDIT CARDHOLDER? Yes □ No □ X X X X X X
MY PERSONAL INFORMATION
FULL NAME (First, Middle, Last) Name to Appear on Card
(Must not exceed 19 characters
including spaces)
CITIZENSHIP/NATIONALITY CIVIL STATUS NO. OF DEPENDENTS NO. OF CARS EDUCATION
□ Filipino □
Others __________________ ACR No. ___________ □ Single □
Married □ Widowed □ Separated OWNED □ High School □ College □ Some College □ Post Graduate
BIRTHDATE (Month/Day/Year) PLACE OF BIRTH GENDER MOTHER’S FULL MAIDEN NAME (First, Middle, Last) TAX IDENTIFICATION NUMBER (TIN) SSS/GSIS NUMBER
(City, Town, Province and Country)
□ Male ANT ANT ANT
□ Female IMP
ORT
IMP
ORT
IMP
ORT
MOBILE PHONE NUMBER HOME PHONE NUMBER PRIMARY E -MAIL ADDRESS ALTERNATE E-MAIL ADDRESS
Your mobile number will be used for sending of cardholder notices, (If provincial, include area code) Your e-mail address will be used for sending of your EastWest Credit Card
marketing promos, your one-time-password, security alerts, etc. electronic Statement of Account, cardholder notices, marketing promos, security
ANT
alerts, online banking, etc.
ORT
IMP
MY CREDIT CARD REFERENCES (Please indicate all major principal credit cards you own. Must be active and at least 1 year.) Noting your credit card references will expedite processing of your application.
CARD ISSUER CARD NUMBER MEMBER SINCE CREDIT LIMIT
MY SPOUSE’S INFORMATION
NAME OF SPOUSE (First, Middle, Last) COMPANY/BUSINESS ADDRESS
(Floor/Bldg./No./Street/Village/Barangay/Municipality/City/Province/ZIP Code)
COMPANY/BUSINESS NAME COMPANY/BUSINESS PHONE NUMBER MOBILE PHONE NUMBER GROSS ANNUAL INCOME
MY PERSONAL/TRADE
MY PERSONAL/ REFERENCE
FULL NAME (First, Middle, Last) COMPANY/BUSINESS NAME CONTACT NUMBER
By signing in this section, I agree that this Application Form may also serve as my application for other products of EastWest, such as, but not limited to home loan, auto loan, personal loan, EEL, among others, as I may subsequently request from EastWest
or if I am deemed qualified by EastWest. I undertake to submit additional documents as may be required by EastWest for the processing of my application. I understand that the issuance of additional product/s of EastWest shall be subject to credit evaluation
and the approval shall be subject to the discretion of EastWest and that the availment of additional products is my option. I understand that EastWest can rely on the authority/ies given under this section unless I explicitly revoke the same.
PRINCIPAL APPLICANT’S SIGNATURE