Mgm_appform.pdf

Spread the holiday cheer With EastWest’s Member-Get-Member Promo Earn unlimited Cash Credits for your Christmas shopping! Refer your family and friends for an EastWest Mastercard credit card and earn as much as Php2,500 Cash Credit* for every approved referral. The more approved referrals you have, the more Cash Credits you earn! Plus, your approved referrals can redeem an SM Gift Pass worth as much as Php2,500* as a welcome gift. For the promo terms and conditions, please refer to the reverse side of this form. Please advise your referral to visit www.ewbanker.com for the features, benefits, fees and charges of EastWest Mastercard credit cards. To apply, please ask your referral to fill out and sign this MGM Application Form and send via e-mail with the documentary requirements to [email protected]. As the referrer, please indicate your complete name, 1st 6 digits and last 4 digits of your EastWest credit card number and e-mail address on record. *Cash credit and SM Gift Pass values vary depending on the credit card type of the approved referral.

Promo period is from November 5, 2018 to March 31, 2019. Terms and conditions apply. Per DTI-FTEB Permit No. xxxx, Series of 2018.

EASTWEST PRINCIPAL CARDHOLDER INFORMATION (”REFERRER”) COMPLETE NAME (As it appears on your EastWest Credit Card)

EASTWEST CREDIT CARD NUMBER (Please indicate the first 6 digits and last 4 digits of your EastWest credit card number.)

ANT ORT IMP

ANT ORT IMP

E-MAIL ADDRESS (Should be the same as your e-mail address on record. EastWest will add this e-mail address

-

-

X X

X

X

X

X

-

ANT ORT IMP

ANT ORT IMP

to update your customer information if you have no e-mail address on record.)

APPLICANT INFORMATION (”REFERRAL”)

(Applicant must not have an existing Principal EastWest credit card or any cancelled EastWest credit card within the promo period.)

EASTWEST CREDIT CARD OF CHOICE

WORK INFORMATION

EastWest Platinum Mastercard EastWest Gold Mastercard EastWest EveryDay Titanium Mastercard EastWest Classic Mastercard EastWest Dolce Vita Titanium Mastercard Hyundai Mastercard Depending on EastWest’s evaluation, you may receive a card type other than your choice. Visit www.ewbanker.com to know the EastWest credit card that’s right for you.

PERSONAL INFORMATION

SOURCE OF FUNDS

Business Income Remittance

NATURE OF PRESENT WORK/BUSINESS Agricultural/Mining Banking BPO Business/Commercial Services Check Cashing Facilities/Bayad Center

Middle

Last

NAME TO APPEAR ON CARD (Must not exceed 19 characters including spaces)

Communication Community/Social/Personal Construction Financing Government

JOB TITLE/OCCUPATION BIRTHDATE

PLACE OF BIRTH

(MM/DD/YYYY)

(City, Town, Province and Country)

MOTHER’S FULL MAIDEN NAME First

GENDER Male

Middle

Filipino

Others __________________________________

Last

Village/Brgy./Municipality

No.

Bldg.

Street

Zip Code

Zip Code

ALTERNATE BUSINESS PHONE NUMBER

GROSS ANNUAL INCOME

NO. OF YEARS WITH PRESENT EMPLOYER/BUSINESS

(Include local/extension and if provincial, include area code)

(Should match income document submitted)

Please check if the same as Present/Home Address.

Street

City/Province

COMPANY/BUSINESS PHONE NUMBER (Include local/extension and if provincial, include area code)

City/Province

PERMANENT ADDRESS No.

DEPARTMENT

Village/Brgy./Municipality

Street

Pawnshop Real Estate Transportation/ Communication Utilities Wholesale/Retail

ACR No. _________________

PRESENT/HOME ADDRESS No.

Insurance Manufacturing Money Changers/ Foreign Exchange Dealer Money Transmitters/ Remittance Agents

COMPANY/BUSINESS ADDRESS Floor

CITIZENSHIP/NATIONALITY Female

Retirement/Separation Others _____________

COMPANY/BUSINESS NAME

FULL NAME First

Salary/Benefits Allowances

CREDIT CARDS OWNED (Please note your active principal card/s owned for at least 1 year.)

Village/Brgy./Municipality

Card Issuer City/Province

Credit Card Number

Zip Code

HOME PHONE NUMBER (if provincial, include area code)

PRIMARY MOBILE NUMBER

ALTERNATE MOBILE NUMBER

PRIMARY E-MAIL ADDRESS

ALTERNATE E-MAIL ADDRESS

TAX IDENTIFICATION NUMBER (TIN)

SSS/GSIS NUMBER

BILLING PREFERENCE Present/Home Address

Company/Business Address

Your Statement of Account (SOA), Replacement or Renewal Cards and other communications may be delivered to the alternate address if we are not able to deliver to your preferred billing address.

STATEMENT OF ACCOUNT Kindly indicate if you are related to an EastWest Director, Officer, Stockholder and Related Interest (DOSRI) NAME RELATIONSHIP

Go green, go paperless! Your credit card SOA will be sent to your e-mail address on record through our ElectronicSOA (e-SOA) Facility in a password protected PDF file. An SMS advisory will be sent to your mobile number on record to inform you that your e-SOA has been sent. Should you prefer to receive your SOA at your billing address, please tick this box: Send my SOA to my billing address

DOCUMENTARY REQUIREMENTS

FOR BANK USE ONLY

Tick the box of the supporting documents you are submitting together with this completely filled out application form.

1. Any one (1) valid ID with photo and signature Passport Company ID Driver’s License Others ___________________

BL/WL/AMLB60

PHX

NFIS

DUP

2. Any one (1) proof of financial capacity Latest three (3) months payslips Latest ITR/Certificate of Latest Credit Card Statement of Account Compensation Payment/ Others: ___________________________ Tax Withheld (BIR Form 2316) Certificate of Employment stating breakdown of compensation

IMPORTANT! APPLICATIONS WITHOUT DOCUMENTARY REQUIREMENTS WILL BE CANCELLED.

EVAL

SOURCE CODE:

AML RATING HR

NR

M-BDV-MGM-018-00000

DECLARATION AND SIGNATURE I hereby certify that all information and documents given in this application are complete, true and correct and that my signatures herein are genuine. Disclosure and Sharing of Information a. Processing of Application I hereby consent and authorize EastWest, any of its offices, branches, subsidiaries, affiliates, agents, representatives and third parties, to conduct random verification with the BIR, any other appropriate government agency or third party, including banks and financial institutions, to establish the authenticity of the information I declared and the documents I submitted in relation to my application as it may be necessary for the processing and evaluation of my application. I hereby waive any rights on the confidentiality of my income information as required by BSP Circular 622, as amended by BSP Circular 855. I further consent and authorize the disclosure of personal and sensitive personal information by the Bank, provided that such disclosure is in accordance with the provisions of Republic Act No. 10173 or the Data Privacy Act of 2012, its Implementing Rules and Regulations, and other rules and regulations relating to data privacy, including the Bank’s data privacy policy published in its website. b. Account Maintenance and Servicing I hereby authorize the transfer, disclosure and communication of EastWest of any information, including personal and sensitive personal information, relating to my account/s with EastWest together with all of the documents submitted for this application to any of its offices, branches, subsidiaries, affiliates, agents, representatives and third parties for application processing, data processing/storage, customer satisfaction surveys, and for any other purpose as EastWest may deem appropriate, and/or as described in the Bank’s data privacy policy, and as may be required by law or regulation. I hereby also authorize the regular submission and disclosure to any and all credit information service providers listed in the Bank’s data privacy policy published in its website of any information, whether positive or negative, relating to my basic credit data (as defined under Republic Act No. 9510) with EastWest, as well as any update or correction thereof. The foregoing constitutes my written consent for any such submission and disclosure of information relating to my account/s for the purpose indicated above and under applicable laws, rules and regulations. I agree to hold EastWest free and harmless from any liability that may arise from any transfer, disclosure or storage of information relating to my account/s. c. Marketing and Sales Offers I hereby authorize the transfer, disclosure and communication of EastWest of any information, including personal and sensitive personal information, relating to my account/s with EastWest together with all of the documents submitted for this application to any of its offices, branches, subsidiaries, affiliates, agents, representatives and third parties for product and service offers to be made to me through mail/ e-mail/fax/SMS/telephone or through other forms of media, and for any other purpose as EastWest may deem appropriate, and/or as described in the Bank’s data privacy policy published in its website, unless I expressly notify EastWest otherwise through the following contact information: Customer Service: (02) 888-1700

E-mail: [email protected]

I understand that this application is subject to EastWest's credit policies and procedures. I understand and agree that should my credit card application be approved, my Card/s may be delivered activated subject to EastWest’s activation policy and guidelines. In case of disapproval of my application, I understand that EastWest is under no obligation to disclose the reason/s for such disapproval unless required by law or regulation. The accomplished application form and requirements I submitted become the property of EastWest, and the Bank is under no obligation to return the said documents to me regardless of the outcome of the application. By signing below, I also acknowledge that I have fully read and understood the Terms and Conditions Governing the Issuance and Use of EastWest Credit Cards as found in the Bank's website and the Bank’s data privacy policy published in its website: https://www.ewbanker.com/info/ew_privacy.asp. I agree to abide by and be bound by the said Terms and Conditions and data privacy policy, as well as all laws, rules, regulations and official issuances applicable to EastWest which may hereinafter be issued, including other terms and conditions governing the use of other facilities, benefits, products or services which shall be made available to me. I also agree that EastWest may amend from time to time its Terms and Conditions, which include the fees and charges for its products and/or services, and its data privacy policy, and I agree to be notified of such changes through notice sent to me through any of the following means, at the option of EastWest unless I request otherwise: (i) mailed and/or e-mailed notices (sent to my mailing or e-mail addresses indicated in EastWest's records), (ii) notices posted at EastWest's branches or (iii) notices in its website, and I agree to be bound by such changes unless I expressly notify EastWest otherwise through the contact information indicated above. d. Card Delivery I authorize EastWest or its official courier to deliver the Card/s to me, to any member of my household, to any of my officemate/co-employee or to any other person that I may authorize through an authorization letter, subject to the existing delivery policy of EastWest. I agree to hold EastWest free and harmless from any claim, loss or liability, whatsoever arising from the delivery of the Card/s to my authorized representative.

  Principal Applicant’s Signature Over Printed Name

Date

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, auto loan, home 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 availment of the other products of EastWest is my option but the approval shall be subject to credit evaluation and sole discretion of EastWest. I understand that EastWest can rely on the authority/ies given under this section unless I explicitly revoke the same

  Principal Applicant’s Signature Over Printed Name

Date

Applicant (Referral) Documentary Requirements • For applicants WITH an existing credit card (must be a Principal cardholder of another bank), submit a photocopy of one (1) valid ID with photo and signature [e.g., Company ID, Driver’s License, Passport, Professional Regulation Commission (PRC) ID, SSS, BIR ID, Postal ID, etc.] and latest credit card statement of account. • For applicants WITHOUT an existing credit card, submit a photocopy of one (1) valid ID with photo and signature [e.g., Company ID, Driver’s License, Passport, Professional Regulation Commission (PRC) ID, SSS, BIR ID, Postal ID, etc.] and any ONE of the following: (1) Latest ITR/Certificate of Compensation Payment/Tax Withheld (BIR Form 2316); (2) Certificate of Employment; or (3) Latest three (3) months payslips. EastWest Member-Get-Member Promo Terms and Conditions A. Referrer Incentive 1.

The EastWest Member-Get-Member (“MGM”) Promo is open to all EastWest Principal Cardholders in good credit standing*, herein referred to as “Referrer”. Employees of EastWest and Corporate Cardholders are not qualified to join the Promo.

2. Promo period is from November 5, 2018 to March 31, 2019. 3. EastWest Principal Cardholders can join the MGM Promo by asking their relatives and friends, herein referred to as “Referral”, to apply for an EastWest Mastercard credit card. 4. The complete information of the Referrer must be clearly indicated on the MGM Application Form. Blank, incomplete, invalid and unreadable Referrer information will not be counted in favor of the Referrer despite approval of the application of the Referral. Referrers should provide the following information for proper tagging of Referrals: a) Complete name (as it appears on the EastWest credit card) b) 1st 6 digits and last 4 digits of their EastWest credit card number c) E-mail address 5. The Referrer must ensure that his/her Referral meets all of the following criteria: a) Must not have an existing principal EastWest credit card or a cancelled EastWest credit card within the promo period. Otherwise, both Referrer and Referral shall not qualify for the promo incentives; b) Must be 21 to 65 years old, Filipino citizen and residing in the Philippines; c) Must have a residence landline or postpaid mobile phone AND business landline; and d) Must be an active principal credit cardholder of another bank and/or with a Gross Annual Income of: Mastercard Credit Card Type Classic Mastercard Hyundai Mastercard

Gross Annual Income

Dolce Vita Titanium Mastercard

Php300,000

EveryDay Titanium Mastercard Gold Mastercard

Php480,000

Platinum Mastercard

Php1,800,000

Php120,000

6. To qualify for the Promo, the Referral’s application form must be: a) received within the promo period; b) the prescribed MGM application form, completely filled out and signed; and c) submitted with complete documentary requirements via e-mail to: [email protected] 7.

To request for additional MGM Application Forms, Referrer may: a) download the form at http://www.bit.ly/mgmpromo2018 or at www.ewbanker.com; or b) call EastWest’s 24-Hour Customer Service at (02) 888-1700.

8. For every approved Referral, the Referrer will receive a Cash Credit (“Referrer Incentive”) depending on the Referral’s approved card type. Referral’s Approved Card Type Classic Mastercard

Cash Credit Php800

Hyundai Mastercard Dolce Vita Titanium Mastercard EveryDay Titanium Mastercard Gold Mastercard

Php2,000

Platinum Mastercard

Php2,500

9. The Referrer must be in good credit standing* throughout the duration of the promo period and upon crediting of the Referrer Incentive. Otherwise, the Referrer Incentive will be forfeited in favor of the Bank. 10. In the event that the Referral is referred by two (2) or more Referrers, the Referrer Incentive shall be awarded to the Referrer whose Referral application was approved first. The Bank shall strictly enforce a one (1) Referrer Incentive and Referral Welcome Gift policy per valid approved Referral. 11. Referrers will be notified of their Referral’s application status through their e-mail address on record. Referrer Incentive will be posted on the Referrer’s credit card Statement of Account (SOA) on the next billing cycle from the card approval date of their Referral. 12. Only signed MGM Application Forms with complete documentary requirements will be processed. Incomplete Referral applications will be cancelled. Request for reprocessing of cancelled/declined applications will not be accommodated. Instead, the Referrer shall be required to re-submit the duly accomplished MGM Application Form with documentary requirements. All submitted MGM Application Forms and documentary requirements shall belong to EastWest and shall not be returned. 13. Disputes in respect of the Referrer’s eligibility, coverage of the promo dates, fulfillment, etc., shall be resolved by EastWest at its sole discretion with prior approval from DTI.

B. Referral Incentive 1. Newly approved Referrals under the EastWest Member-GetMember (“MGM”) Program shall be eligible to redeem FREE SM Gift Pass/es provided that the approved Referral is “new-to-bank”. New-to-bank means the approved Referral does not have any existing EastWest principal credit card or cancelled EastWest principal credit card within the promo period. 2. Promo period is from November 1, 2018 to March 31, 2019. 3. The value of the FREE SM Gift Pass/es to be given away shall depend on the Mastercard credit card type issued by EastWest under the MGM Promo subject to the corresponding spend requirement as stated in the table below: Mastercard Credit Card Type Classic Mastercard

Cash Credit Php800

Spend Requirement Php1,500

Hyundai Mastercard Dolce Vita Titanium Mastercard EveryDay Titanium Mastercard Gold Mastercard

Php2,000

Php4,000

Platinum Mastercard

Php2,500

Php5,000

4. The approved Referral will qualify for the FREE SM Gift Pass/es once he/she reaches the minimum spend requirement within ninety (90) days from the date of card approval, which shall be indicated in the Welcome Letter to be inserted in the welcome pack of the newly approved EastWest Mastercard credit card. 5. Upon reaching the minimum spend requirement, a Complimentary Gift Letter shall be sent to the qualified Referral’s billing address on record within forty-five (45) days. Redemption of the FREE SM Gift Pass/es is until sixty (60) days from the date of the Complimentary Gift Letter. 6. Only straight/retail transactions, merchant installment transactions (where the principal amount is considered), online purchases, mail/telephone order (MOTO) transactions and Quick Bills/auto-charge transactions are eligible under the MGM Promo. Cash advance availments (whether via POS terminal or manual voice authorizations), Insta-Cash, Balance Transfer, Convert-to-Installment transactions, fees and charges are not considered qualified spend for the Promo. 7. To redeem the FREE SM Gift Pass/es, the Referral must: a) Proceed to the SM Store Customer Service Counter at any SM Store nationwide; b) Present his/her new EastWest Mastercard credit card and valid ID; and c) Surrender the original Complimentary Gift Letter. Note: The credit card account must be in good credit standing* at the time of redemption.

8. Upon redemption, the EastWest Mastercard credit card will be validated against the Complimentary Gift Letter presented. The credit card details on the letter must match with the EastWest Mastercard credit card presented. 9. A qualified Referral can only redeem once. The Complimentary Gift Letter can only be used once. 10. Qualified Referral must be responsible for his/her Complimentary Gift Letter. Lost or destroyed Complimentary Gift Letters shall not be replaced. Tampered Complimentary Gift Letters shall not be accepted. 11. In case a Referral is proven by EastWest to have made an invalid transaction, submitted invalid redemption documents not within the terms of item numbers 6 and 7 of the Promo Terms and Conditions and/or has made multiple redemptions, EastWest shall have the right to charge the value of the SM Gift Pass/es redeemed under this Promo to the Referral’s EastWest Mastercard credit card even if the charging results to a negative balance on his/her EastWest Mastercard credit card. 12. This Promo may not be used in conjunction with other EastWest acquisition/activation promos. In case the approved Referral qualifies for more than one promo, he/she can only avail of one. Multiple or invalid promo availment may result to charging the full cost of the reward to the approved Referral’s account, at EastWest’s discretion. 13. The approved Referral understands and agrees that, as a condition for receiving the SM Gift Pass/es under this Program, he/she shall retain his/her EastWest Mastercard credit card until its next anniversary date. In the event that the approved Referral cancels his/her EastWest Mastercard credit card prior to its next anniversary date, he/she shall be charged through his/her EastWest Mastercard credit card an amount not exceeding the value of the SM Gift Pass/es redeemed. 14. The issuance and use of EastWest credit card are subject to the Bank’s credit policies and the Terms and Conditions Governing the Issuance and Use of EastWest Credit Cards. Card type issuance is subject to the existing Marketing program guidelines, Credit policies and procedures of EastWest. 15. Disputes in respect of the approved Referral’s eligibility, coverage of the promo dates, fulfillment, etc., shall be resolved by EastWest at its sole discretion with prior approval from DTI. *Cardholders in good credit standing are those whose accounts are not delinquent, not under investigation due to suspected fraudulent activities, those whose EastWest credit cards are not reported lost or stolen and those who have not, otherwise, violated any of the Terms and Conditions Governing the Issuance and Use of EastWest Credit Cards. Per DTI-FTEB Permit No. 13130, Series of 2018.

For inquiries and feedback, you may call EastWest’s 24-Hour Customer Service at (02) 888-1700 or e-mail [email protected]. EastWest is supervised by Bangko Sentral ng Pilipinas with telephone number (02) 708-7087.