My EastWest Credit Card of choice (Please choose one)
EastWest Classic Visa EastWest Platinum MasterCard   LausAutoGroup Visa
EastWest Classic MasterCard EastWest EveryDay MasterCard   Hyundai MasterCard
EastWest Gold Visa   EastWest Dolce Vita MasterCard (for women only)
EastWest Gold MasterCard EastWest Practical MasterCard

Note: 1st year Annual Membership Fee waiver for EastWest EveryDay MasterCard applies to new-to-bank cardholders only. New-to-bank is defined as cardholders who do not have
an existing EastWest Credit Card.

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)
Mother's Full Maiden Name
First Middle Last
Birthdate  (MM/DD/YYYY)
Place of Birth
Gender Male   Female
Civil Status Single   Married   Widowed   Separated
No. of Dependents
Number of cars owned
Citizenship Filipino   Others
ACR No.
Education High School   Some College   College   Post Graduate
Tax Identification Number (TIN)
SSS/GSIS No.
Home Address
Limit input to 120 characters including spaces
Permanent Address
Limit input to 120 characters including spaces
Zip Code
Years of Stay
Home Ownership Owned, Mortgaged Owned, Not Mortgaged
Living with Parents or Relatives Company Provided Rented
Home Phone  Format: (Area Code) + Phone Number
Mobile Phone
Best time to call (Day/Time)

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.



My Spouse's Information

Name of Spouse  (First, Middle, Last)
Company/Business Name
Position
Department
Business Address
Limit input to 60 characters including spaces
Zip Code
Business Phone Format: (Area Code) + Phone Number
Mobile Phone
Gross Annual Income


Your Personal/Trade Reference

Full Name   (First, Middle, Last)
Business Name
Position
Department
Contact No.  Format: (Area Code) + Phone Number


My Work and Finances

Employment Self-employed   Government   Private   Retired
Others  
   No. of years with present employer/business
Position
Clerk
Officer - Junior/Supervisor
Officer - Senior
Executive
Non-Officer
OFW
Religious
Retired
Production Worker
Self-Employed/Proprietor
Others:
Position/Title
Nature of Present Business
Agricultural/Mining
Banking
Business/Commercial Services
Community/Social/Personal
Financing
Insurance
Construction
Manufacturing
Real Estate
Transportation/Communication
Utilities
Wholesale/Retail
Others:
Occupation
Administrator/Executive
Agricultural
Armed Forces/Military
Clerical
Production/Transport
Professional/Technical
Sales Worker
Service Worker
Self-Employed
Others:
Company/Business Name
Department
Business Address
Limit input to 120 characters including spaces
Zip Code
Business Phone  Format: (Area Code) + Phone number
Email Address
  Your email address will be used to automatically enroll your card account to the EastWest Internet Banking Facility.

My Credit Card References (Please indicate all Major principal credit cards you own. Must be active and at least 1 year.)

Card Issuer
Card Number
Member Since
Credit Limit
 
Card Issuer
Card Number
Member Since
Credit Limit
 
Card Issuer
Card Number
Member Since
Credit Limit
 
Gross Annual Income   (Should match income document submitted)
Are you an existing EastWest Client?    Yes Depositor       No
          Borrower
if yes, Bank Account No./Branch
Are you an existing
Principal EastWest Credit Cardholder?
 Yes     No

   EastWest Credit Card Number    

My Billing Preference

Billing/Card Delivery Home   Office

      Your card and statement of account may be delivered to the alternative address if we are not able to deliver to your preferred address.


AUTHORITIES GRANTED TO EASTWEST AND WAIVER OF CONFIDENTIALITY

I certify that all information and the supporting documents I submitted in connection with this application are complete, true and correct, and the signatures therein are genuine.

I authorize EastWest, its agents and service providers to conduct inquiries on the information and documents I have provided with any source as it deems appropriate and to have access to information and records relating to me contained in any government or private records, including but not limited to tax, employment or financial records and to secure copies thereof.

I consent to the use and disclosure by EastWest of information relating to me, my application and my transactions with EastWest, to any of its subsidiaries and affiliates, agents, members of the Filinvest Group of Companies, its third-party service providers, other banks, credit card companies, financial institutions, banking, financial and credit associations, credit information bureaus and their equivalent, for use in connection with EastWest's exercise of its functions or for any business purpose (including but not limited to sales and marketing, credit investigation and collection, information technology systems, data processing and storage and statistical and risk analysis purposes).

I consent to the disclosure by EastWest of information relating to me to any of its subsidiaries and affiliates and the members of the Filinvest Group of Companies to enable the latter to offer their products, programs and services directly to me.

I agree that such disclosure or exchange of information shall not be the basis of any claim against EastWest or the parties to whom EastWest makes the disclosure.

I allow EastWest, at its discretion, to grant or extend to me its products and/or services, including but not limited to credit and/or debit products and facilities.

I agree and authorize EastWest to send promotional advertisement of its products and/or services to me through mail, short messaging services, multimedia messaging services, electronic mail and other forms of telecommunications, unless I expressly notify EastWest otherwise.

I agree and authorize EastWest to enroll my credit card account to EastWest's internet banking facility.

I understand and agree that EatWest may be required to report my 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.

In case my application is disapproved, I acknowledge that EastWest is not obliged to advise me of the disapproval and the reasons thereof. I understand that my application and supporting documents submitted to EastWest will not be returned to me.

For purposes of this authority to verify and disclose information, I waive confidentiality of any such information relating to me under applicable confidentiality and data privacy laws, rules and regulations.


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