Form 1
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SC IC CTP
• Complete the application form (placing N/A if Not Applicable). • Applications without required documents or with incomplete information will not be processed.
CTS
BASIC APPLICATION REQUIREMENTS 1. Must be 21 to 65 years old for PRINCIPAL; at least 13 years old for SUPPLEMENTARY Cardholders 2. Must be a Filipino Citizen 3. Minimum Gross Fixed Annual Income of PhP420,000 4. Must have at least one landline phone 5. Residence or Office Address must be within Greater Manila Area, Bulacan, Cavite, Rizal, Laguna, Baguio, Batangas, Dagupan, Laoag, Pampanga, Cebu, Iloilo, Bacolod City, Cagayan De Oro, and Davao.
MY PERSONAL INFORMATION Gender
Female
First Name
Male Middle Name
Name to appear on card (limited to 19 characters only including spaces; aliases/nicknames are not accepted)
Birthdate
TIN
DOCUMENT REQUIREMENTS
SSS/GSIS/Passport No. DD
FOR APPLICANTS WITH EXISTING CREDIT CARD/S Photocopy of the following: 1. Latest Credit Card chargeslip (not more than 30 days from transaction date) or latest credit card statement of account; 2. Front portion of other credit card; 3. Front and back portion of valid ID with photo and signature such as: Company ID; TIN/SSS/GSIS/Pag-ibig or other government-issued ID; Philippine Passport; Driver’s License; PRC ID; 4. Photocopy of latest BIR form 2316; signed by employer’s authorized representative (for employed), or photocopy of latest ITR and W4 with BIR stamp (for self-employed).
Last Name
MM
YYYY
Nationality
No. of Dependents
Car Ownership No. of cars owned Marital Status
Owned Single
Married
Mortgaged
Widow/er
Separated
School Last Attended Educational Attainment High School
College
Mother’s Full Maiden Name First
Full Middle
Post Graduate
Others
Surname
Spouse’s Full Name Spouse’s Birthdate
MY COMMUNICATION & DELIVERY INSTRUCTIONS
FREE for life.*
Home Ownership Owned by Applicant Rented
Mortgaged/Financed Company Quarters
Living with Relatives Boarding
Residence/Home Address House No. & Street District City/Province
Residence Phone Number
(
)
Years at Present Address
Zip Code
Mobile Number ( )
Email Address
Years at Previous Address
Office Address Company Name & Dept.
Apply Now!
Benefits, Privileges and Rewards awaits…
Floor & Bldg. Name Street & District
Note: Submission of Item C may be waived provided the preferred billing address indicated appears in the proof of income or identification documents. Submitted documents will not be returned to the applicant.
City/Province
Zip Code
• Complete the application form (placing N/A if Not Applicable). • Applications without required documents or with incomplete information will not be processed.
CTS
BASIC APPLICATION REQUIREMENTS 1. Must be 21 to 65 years old for PRINCIPAL; at least 13 years old for SUPPLEMENTARY Cardholders 2. Must be a Filipino Citizen 3. Minimum Gross Fixed Annual Income of PhP420,000 4. Must have at least one landline phone 5. Residence or Office Address must be within Greater Manila Area, Bulacan, Cavite, Rizal, Laguna, Baguio, Batangas, Dagupan, Laoag, Pampanga, Cebu, Iloilo, Bacolod City, Cagayan De Oro, and Davao.
MY PERSONAL INFORMATION Gender
Female
First Name
Male Middle Name
Name to appear on card (limited to 19 characters only including spaces; aliases/nicknames are not accepted)
Birthdate
TIN
DOCUMENT REQUIREMENTS
SSS/GSIS/Passport No. DD
FOR APPLICANTS WITH EXISTING CREDIT CARD/S Photocopy of the following: 1. Latest Credit Card chargeslip (not more than 30 days from transaction date) or latest credit card statement of account; 2. Front portion of other credit card; 3. Front and back portion of valid ID with photo and signature such as: Company ID; TIN/SSS/GSIS/Pag-ibig or other government-issued ID; Philippine Passport; Driver’s License; PRC ID; 4. Photocopy of latest BIR form 2316; signed by employer’s authorized representative (for employed), or photocopy of latest ITR and W4 with BIR stamp (for self-employed).
Last Name
MM
YYYY
Nationality
No. of Dependents
Car Ownership No. of cars owned Marital Status
Owned Single
Married
Mortgaged
Widow/er
Separated
School Last Attended Educational Attainment High School
College
Mother’s Full Maiden Name First
Full Middle
Post Graduate
Others
Surname
Spouse’s Full Name Spouse’s Birthdate
MY COMMUNICATION & DELIVERY INSTRUCTIONS
FREE for life.*
Home Ownership Owned by Applicant Rented
Mortgaged/Financed Company Quarters
Living with Relatives Boarding
Residence/Home Address House No. & Street District City/Province
Residence Phone Number
(
)
Years at Present Address
Zip Code
Mobile Number ( )
Email Address
Years at Previous Address
Office Address Company Name & Dept.
Apply Now!
Benefits, Privileges and Rewards awaits…
Floor & Bldg. Name Street & District
Note: Submission of Item C may be waived provided the preferred billing address indicated appears in the proof of income or identification documents. Submitted documents will not be returned to the applicant.
City/Province
Zip Code
