American Express® Platinum Credit Card & Cathay Pacific American Express® Elite Credit

Card Cardmembers have the option to choose Blue from American Express as
SUPPLEMENTARY APPLICATION FORM
All details should be completely filled out.
Please personally submit completed Application Form
and requiremnets to the nearest BDO Branch.
Supplementary Card. Rewards, fees and charges will be aligned with the Basic
Card. If no Supplementary Card is specified below, default card type shall follow that of
the Basic Card.
Should you wish to apply for a Blue from American Express Supplementary Card, please
check the box indicated below.
Blue from American Express Card

Apply via SMS, just type:

BDOCC<SPACE>SCP<SPACE> FULL NAME/CONTACT NUMBERS For Filipinos, Supplementary Applicant/s must submit any one of the following valid
then send to 2256*. photo-bearing identification documents (front and back): Company ID, if company is
Example: BDOCC SCP JANE A. GONZALES/09123456789 SEC, IC or BSP supervised/registered, Passport, Driver’s License, SSS ID (photo
bearing plastic card type with scanned signature), TIN Card (photo-bearing plastic
* P2.50 charge for Globe & Smart, P2.00 charge for Sun Subscribers.
card type), PhilHealth Card, GSIS ID, PRC ID, Voter’s ID, all other IDs issued by the
Philippine government and its instrumentalities. Supplementary applicants who are
BASIC CARDMEMBER’S INFORMATION studying may submit a valid school ID instead.
First Name Middle Name Last Name
For Foreigners, Supplementary Applicant/s must submit any one of the following
documents: Valid VISA and work permit, Alien Certificate of Registration (ACR) or
Immigrant Certificate of Registration (ICR) or ACR-I, Valid passport with any of the
Basic Cardmember’s Card Number following: Special Investors Resident VISA, Special Non-Immigrant VISA for PEZA
investors and employees, or VISA with EO226.

Expiry Date Card Type* (e.g. Blue from American Express, etc.)

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
Updated Residence Address
Supplementary Cardmembers ages 13-15 years old the default amount will be the
Zip Code minimum sub-limit assignment. If no sub-limit is assigned for ages 16 and above, the
Supplementary Cardmembers shares in the Basic Cardmember’s credit limit.
Updated Office/Company Address
For Dual Currency Cards, the Dollar Sub-limit is also the equivalent of the Peso
Sub-Limit based on the Bank’s conversion rates. Transactions made by the
Residence Phone Number Office Phone Number Supplementary Cardmember in excess of the monthly Sub-Limit Assignment may be
accomodated and are dependent on the credit standing, where the Basic
Cardmember is accountable.
Mobile Number TIN/SSS No.

* Default card type of the Supplementary follows that of the Basic Cardmember.
By signing below, and or at the back of the Card, and/or by using the Card, I/we have
SUPPLEMENTARY agreed to abide by the Terms and Conditions Governing the Issuance and Use of BDO
Credit Cards and all future amendments thereto. I/We hereby certify that all information
Sub-Limit Assignment** and documents given in this application are true and correct.
First Name Middle Name Last Name
I/We hold ourselves, jointly and severally liable for all obligations and liabilities incurred
with the use of the BDO Credit Card and extension cards. The entire unpaid obligation
Name to appear on the Card (Limited to 19 characters only, including spaces; and all other fees, charges, and amounts payable to BDO under the Terms and
aliases/nicknames are not acceptable) 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
Relationship Gender Nationality way serve as an amendment or modification of this provision. In case of disapproval,
Spouse Parent Child Female I/we understand that BDO is under no obligation to disclose the reason/s for such
disapproval. I understand, as Basic Cardmember, that I shall be sharing my Credit Limit
Siblings Others Male to the Supplementary Cardmember(s) and shall be liable for all the purchases and cash
Mother’s Full Maiden Name advances made, including all interest and charges incurred through the use of
First Name Middle Name Last Name supplementary card(s).

The accomplished application form and requirement(s) submitted becomes the

Birthdate property of BDO. BDO is under no obligation to return the said documents to me/us
regardless of the outcome of the application.
Place of Birth
d d m m y y y y
TIN SSS/GSIS/Passport No.
Present Address: House No. & Street
District
City Province Zip Code
Residence Phone Number Mobile Number

e-Mail Address
Permanent Address: House No. & Street
District
City Province Zip Code
Office Details: Company Name
Company Address

Nature of Business Position

For more information, please contact American Express
Office Phone Number Customer Service Hotline at 631-8000 (within Metro Manila)
e-Mail Address or at 1-800-10-6318000 (Domestic Toll-Free).
Employment
Private Sector Government Employed Professional
Self-Employed w/ Self-Employed Retired / Unemployed
Business Professional American Express is a trademark of American Express.
Others These Cards are issued by BDO pursuant to a license from American Express.
Rank
Non-Officer Junior Officer (Supervisor to Manager)
Senior Officer (AVP up) PRINT DATE: JANUARY 2015