My EastWest Credit Card of choice (Please choose one)

Note: You may receive a card type other than your choice, depending on the result of EastWest’s evaluation of your application.


 
Are you an existing EastWest Client?
  Yes
Depositor No
Borrower
Are you an existing Principal EastWest Credit Cardholder? Yes No

EastWest Credit Card Number - - -
Are you related by affinity or consanguinity to any EastWest Director, Officer or Stockholder? Yes No


Name  (First, Middle, Last)
Relationship

My Personal Information

Where did you hear about EastWest Credit Card? 
Others  
Full Name
First Middle Last
Name to appear on Card  (Must not exceed 19 characters including spaces)
Birthdate  (Month/Day/Year)
Place of Birth
Mother's Full Maiden Name
First Middle Last
Gender Male   Female
Civil Status Single   Married   Widowed   Separated
No. of Dependents
No. of Cars Owned
Education High School   Some College   College   Post Graduate
Citizenship/Nationality Filipino   Others
ACR No.
Tax Identification Number (TIN)
SSS/GSIS No.
Present/Home Address
 Limit input to 120 characters including spaces
Zip Code

Please check if same as Present/Home Address
Permanent Address
 Limit input to 120 characters including spaces
Zip Code
Home Ownership Owned, Mortgaged Owned, Not Mortgaged
Living with Parents or Relatives Company Provided Rented
Years of Stay
Home Phone Number  If provincial, include area code
Mobile Phone Number
Your mobile number will be used for sending of your cardholder notices, marketing promo, one-time-password, security alert, etc.
EastWest may send via SMS your status or any other activity related to this card application and/or card account as the Bank deems necessary.

Primary E-mail Address
Your e-mail address will be used for sending of your EastWest Credit Card electronic Statement of Account, cardholder notices, marketing promo, security alert, online banking, etc.

Alternate E-mail Address


My Work and Finances

Source of Funds
Salary/Benefits
Allowances
Business Income
Remittance
Retirement/Separation
Others  
Employment
Private
Government
Self-employed
Employed
Retired
Others  
Years with Present Employer/Business
Position/Rank
Clerk
Officer - Junior/Supervisor
Officer - Senior/Manager
Executive(AVP & Up)
Self-Employed/Proprietor
Others:
Job Title/Occupation
Nature of Present Business
Agricultural/Mining
Banking
BPO
Business/Commercial Services
Community/Social/Personal
Construction
Financing
Government
Insurance
Manufacturing
Real Estate
Transportation/Communication
Utilities
Wholesale/Retail
Others:
Company/Business Name
Department
Company/Business Address
 Limit input to 120 characters including spaces
Zip Code
Company/Business Phone Number  Include local/extension and if provincial, area code
Gross Annual Income   (Should match income document submitted)

My Credit Card References
(Providing your credit card references will expedite the processing of your application.
Please list down all active major credit cards (at least 1 year) you own where you are the Principal Cardholder.)

Card Issuer
Card Number
Member Since
Credit Limit
 
Card Issuer
Card Number
Member Since
Credit Limit
 
Card Issuer
Card Number
Member Since
Credit Limit


My Spouse's Information

Name of Spouse  (First, Middle, Last)
Company/Business Name
Position
Department
Company/Business Address
 Limit input to 120 characters including spaces
Zip Code
Company/Business Phone Number  Include local/extension and if provincial, area code
Mobile Phone Number
Gross Annual Income


My Personal / Trade Reference

Full Name   (First, Middle, Last)
Company/Business Name
Position
Department
Contact No.  If provincial, include area code

My Billing Preference

Send my card to my:       Present/Home Address  Business Address

      Your card, billing statements and other communications may be delivered to the alternative address if we are not able to deliver to your preferred address.


My Statement of Account

Go green, Go paperless!

In support of saving Mother Earth, your credit card Statement of Account (SOA) will be sent to your e-mail address on record through our electronic Statement of Account (e-SOA) Facility. It's convenient, secure and earth-friendly.

Your e-SOA will be sent to your primary e-mail address in a password protected PDF file. With an e-SOA, you can view your SOA anytime and keep the file without the paper clutter. An SMS advisory will be sent to your mobile number on record to let you know that your e-SOA has been sent.

Should you prefer to receive your SOA in your billing address, please tick this box:

Send my SOA to my billing address.

AUTHORITIES GRANTED TO EASTWEST AND WAIVER OF CONFIDENTIALITY

I hereby certify that all information and documents given in this application are complete, true and correct.

Disclosure and Sharing of Information

  1. Processing of my application
  2. I hereby authorize EastWest to conduct random verification with the BIR, any other appropriate government agencies or third parties including banks and financial institutions to establish the authenticity of the information I declared and the documents I submitted (e.g. bank statements, certificate of employment, payslips and income tax return) in relation to my application as may be necessary for the processing and evaluating of my application and I further hereby waive all confidentiality rules and laws, such as R.A. 1405, as amended, Data Privacy Act of 2012, among others, as applicable.

  3. Account Maintenance and Servicing
  4. I hereby authorize the transfer, disclosure and communication of EastWest of any information relating to my accounts with EastWest together with all of the documents submitted for this application to any of its offices, branches, subsidiaries, affiliates, agents and representatives of EastWest and third parties for data processing/storage, customer satisfaction surveys, and for any other purpose as EastWest may deem appropriate, 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 such as, but not limited to, Credit Card Association of the Philippines, Credit Information Corporation, BSP, Anti-Money Laundering Council, Banker’s Association of the Philippines, any information, whether positive or negative relating to my basic credit data (as defined under R.A. No. 9510) with EastWest as well as any updates or corrections thereof. The foregoing constitutes my written consent for any such submission and disclosure of information relating to my accounts for the purpose indicated above and under applicable laws, rules and regulations.

    I agree to hold EastWest free and harmless from any liabilities that may arise from any transfer, disclosure or storage of information relating to my accounts.

  5. Marketing and Sales Offers
  6. I hereby authorize the transfer, disclosure and communication of EastWest of any information relating to my accounts with EastWest together with all of the documents submitted for this application to any of its offices, branches, subsidiaries, affiliates, agents and representatives of EastWest and third parties for product and service offers to be made to me through mail/e-mail/fax/SMS or telephone, and for any other purpose as EastWest may deem appropriate, unless I expressly notify EastWest otherwise through the following Customer Service contact information:

    Customer Service Hotline 888-1700
    Domestic Toll-Free Hotline 1-800-1888-8600
    E-mail cards@eastwestbanker.com

    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 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 requirement/s I submitted becomes the property of EastWest and EastWest is under no obligation to return the said documents to me regardless of the outcome of the application.

    By submitting this application, I agree to abide by the Terms and Conditions Governing the Issuance and Use of EastWest Credit Cards as found in the Bank’s website. I also agree to be bound by any and all amendments thereto as well as all laws, rules, regulations and official issuances applicable to EastWest which may hereinafter be issued, as well as such 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 change any of the provisions in its Terms and Conditions and the fees and charges for its products and/or services from time to time and I agree to be notified of such changes through notice sent to me through any of the following means, at the discretion of EastWest unless I request otherwise: (i) mailed and/or emailed notices (sent to my mailing or email addresses indicated in EastWest’s records), (ii) notices posted at EastWest’s branches or (iii) notices in its website.

    By submitting this application, I agree that this Application Form shall also serve as my application for other products of EastWest, such as, but not limited to, home loan, auto loan, salary loan, personal loan, among others, as I may subsequently request from EastWest or if I are 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 the additional product/s is my option. I understand that EastWest can rely on the authority/ies given under this section unless I explicitly revoke the same.