Share your privileges

With EastWest Supplementary Card

Share your spending privileges with your loved ones by giving them an EastWest Supplementary Card. You may request for up to nine (9) supplementary cards
and assign a monthly sub-limit* for each to better manage your finances.
To apply, simply submit a completely filled-out EastWest Supplementary Card Application Form together with a photocopy of one (1) valid ID with picture
and signature of the supplementary card applicant (e.g. Company ID, Driver's License, Passport, Professional Regulation Commission (PRC) ID, SSS ID, BIR ID,
School ID, etc.) through any of the following:
E-mail: credit_evaluation@eastwestbanker.com
Fax
: (02) 830-8950
Upon its approval, your EastWest Supplementary Card will be delivered to your billing address on record.

EASTWEST SUPPLEMENTARY CARD APPLICATION FORM

Please ensure to fill-out all fields in this form.

PRINCIPAL CARDHOLDER INFORMATION

Full Name

Credit Card Number (Please indicate the first 6 digits and last 4 digits of your EastWest Credit Card number.)

Reyes

Charlene
First

Francisco

Middle

Last

4 1

SUPPLEMENTARY CARD APPLICANTS PERSONAL INFORMATION

Important note: Must be at least 13 years old if related to the principal applicant within second
degree of consanguinity. If not related, must be at least 16 years old.

Marjorie

Francisco

Reyes
Middle

First

Last

M A R J
Birthdate

O R

(MM/DD/YY)

I E

Son/Daughter
Parent-in-Law

R A N C I
Gender

Morong, Rizal

01/13/91

Relationship to Principal Cardholder

Spouse
Parent

Place of Birth

Male
Female

X X - X X X X -3 0 0 0

SUPPLEMENTARY CARD APPLICANTS WORK AND FINANCES

Source of Funds

Employment

Salary/Benefits

Remittance

Allowances

Retirement/Separation

Business Income

Others _______________

Position/Title

Name to appear on Card (Must not exceed 19 characters including spaces)

If not applicable, please write N/A

Full Name

6- 1

No. of Years with

Present Employer/
Business

Self-Employed

Retired

Government

Others

Private

_________________

Nature of Work

C O
Company/Business Name

Citizenship

X Filipino

Others
ACR No.

Company/Business Address
Brother/Sister
Others

Floor

No.

Bldg.

Street

Home Address
No.

Street

Village/Brgy/Municipality

Village/Brgy/Municipality

Gross Annual Income

Tax Identification Number (TIN)

SSS/GSIS Number

(If provincial, include area code)

City/Province

City/Province

Business Phone Number

Zip Code

Zip Code

Permanent Address (If no Permanent Address is declared, Home Address will be the Permanent Address.)
No.

Street

Village/Brgy/Municipality

Monthly Sub-limit*
City/Province

Zip Code

Home Phone Number

(if provincial, include area code)

Mobile Phone Number

(Unless otherwise indicated, the default monthly sub-limit is 100% of the Principal Cardholders credit limit.)
*The assigned monthly sub-limit on the EastWest Supplementary Card (Supplementary Card) is not separate from and forms part of
the Principal Cardholders credit limit. Minimum monthly sub-limit for supplementary is Php2,500, except for EastWest EveryDay
MasterCard with minimum monthly sub-limit of Php10,000. The assigned sub-limit is the same every month even if the
Supplementary Card transactions in previous months are not paid in full, for as long as the Principal Cardholder has an available credit
limit.

FOR BANK
USE ONLY

DECLARATION AND SIGNATURE

I/We hereby certify that the information given herein is true and correct. I/We agree that the issuance and use of the Supplementary Card/s is subject to the Banks credit policies and shall be governed by the Credit Card Terms and
Conditions. In case this application is disapproved, I/we acknowledge that EastWest is not obliged to advise me/us of the disapproval. I/We understand and agree that EastWest may be required to report my/our account/s and
transaction/s including the handling thereof, to the Bangko Sentral ng Pilipinas, Anti-Money Laundering Council, Bankers Association of the Philippines, credit information bureaus or any other central monitoring body. I/We further
agree that the Bank may activate the Supplementary Card upon approval or at a later time subject to its policies and procedures. As the Principal Cardholder, I shall be sharing my credit limit with my Supplementary Card/s and shall
be liable for all transactions made and cash advances obtained, including all charges incurred through the use of the Supplementary Card/s regardless of any dispute/s between my Supplementary Cardholder/s and whether the
Supplementary Card/s were used without my consent.
My/Our signature in this Application Form shall also constitute as my/our written request for the availment of other product/s of EastWest such as, but not limited to, other credit cards, loans, credit facilities, etc.
Should I/we be qualified for such other EastWest product/s based on the information provided herein, I/we am/are willing to submit all other necessary requirements for the product/s applied for, if necessary. By
signing this Application Form, I/we am/are also consenting to the sending of offers of other EastWest product/s at my/our address/es indicated herein at any time. I/we further request that product offers be sent to
me/us by mail, email, text, call or thru any other means. I/We understand that my/our use/availment of such other EastWest product/s will be solely at my/our option.

HR
NR
BL/WL

Signature of Principal Cardholder

PRINT DATE: March 2015

EWB-2015.04.XX.XX
CONFIDENTIAL

AML
RATING

Date

Signature of Supplementary Card Applicant

Date

Got questions?
Call
888-1700
E-mail cards@eastwestbanker.com
Text
EWBCS<space><your message> and send to 2327
for Globe subscribers or to (0917) 890-2327 for other networks