Card Application Form - OCBC Bank

BCCAPP June v. 042013 2014
OCBC BUSINESS CREDIT CARD APPLICATION FORM
To apply, the Applicant must have an existing OCBC Business Credit Card facility, and Cardholder(s) must:
1. Be of age 21 - 62;
2. Have an annual income of S$30,000 and above; and
3. Be either a director, partner, sole-proprietor or employee of the Applicant.
How to submit your application:
Submit this form at any OCBC branch.
All Cardholders must be present with the following
documents:
1. Original NRIC / passport
2. Original copy of the Income latest Tax Income Notice Tax of Notice Assessment of
for Assessment. Year 2012
OR Mail this form to: OCBC Bank, OCBC Business Credit Card,
Robinson Road P.O. Box 1386, Singapore 902736
The following documents of each Cardholder must be submitted together
with this application form:
1. Photocopy of NRIC (front and back) or passport
2. Photocopy of the Income latest Tax Income Notice Tax of Notice Assessment of Assessment for Year 2012
3. Latest original telephone/mobile phone bill or bank statement dated
no more than 3 months ago
Please note that above documents must bear the same name and
address of the Cardholder as in this application form.
Additional information:
Minimum payment for accounts within the credit limit: 20% of the Total Balance and any overdue amount.
Minimum payment for accounts exceeding the Credit Limit: 20% of the Total Balance plus the amount in excess of the Credit
Limit and any overdue amount.
Late Payment Charge: S$60
Interest charges: 12.876% per annum (minimum S$2.50 per month)
The information stated above serves as a guide only. A copy of the OCBC Cardmembers Agreement (Business) will be sent
with the Card(s) and is also available at www.ocbc.com. These conditions are subject to change.
ALL FIELDS MUST BE COMPLETED FOR YOUR APPLICATION TO BE PROCESSED
APPLICANT INFORMATION
Registered Business Name (the “Applicant”):
Registration No.
For the below, please leave blank if no change is required
Name of person to receive summary billing statements and other Card reports or notifications for
and on behalf of the Business: Mr Mrs Mdm Ms
Designation:
Mailing address (if different from registered business address):
Contact number:
Postal code:
Name of Business to be embossed on all Cards:
(Maximum 19 letters inclusive of space; must contain part of or the full Registered Business Name)
CARDHOLDER 1
Name as in NRIC / Passport: Mr Mrs Mdm Ms NRIC / Passport no.: Mother’s Maiden Name:
Mobile number:
Residential address:
Email address:
Important messages will be sent to
this number
Date of birth:
(DD/MM/YYYY)
Nationality:
Singaporean
Other: ____________________
Singapore PR: Yes No
Postal code:
Occupation:
Company Director/Chief Executive
Proprietor/Merchant Partner
General Manager
Financial Officer
Sales Manager/Executive Others: ___________________
Name to appear on card
(Maximum 19 letters inclusive of space; must be similar to your identity documents)
Card limit:
S$
(min. S$2,000,
in increments of S$500):
By signing here, I certify that I have read
and accept the “Declaration & Agreement
by Each Cardholder” found in this form.
Cardholder signature:
Date:
Co. Reg. No.: 193200032W Page 1

BCCAPP June v. 042013 2014
CARDHOLDER 2
Name as in NRIC / Passport: Mr Mrs Mdm Ms NRIC / Passport no.: Mother’s Maiden Name:
Mobile number:
Residential address:
Email address:
Important messages will be sent to
this number
Date of birth:
(DD/MM/YYYY)
Nationality:
Singaporean
Other: ____________________
Singapore PR: Yes No
Postal code:
Occupation:
Company Director/Chief Executive
Proprietor/Merchant Partner
General Manager
Financial Officer
Sales Manager/Executive Others: ___________________
Name to appear on card
(Maximum 19 letters inclusive of space; must be similar to your identity documents)
Card limit:
S$
(min. S$2,000,
in increments of S$500):
By signing here, I certify that I have read
and accept the “Declaration & Agreement
by Each Cardholder” found in this form.
Cardholder signature:
Date:
CARDHOLDER 3
Name as in NRIC / Passport: Mr Mrs Mdm Ms NRIC / Passport no.: Mother’s Maiden Name:
Mobile number:
Residential address:
Email address:
Important messages will be sent to
this number
Date of birth:
(DD/MM/YYYY)
Nationality:
Singaporean
Other: ____________________
Singapore PR: Yes No
Postal code:
Occupation:
Company Director/Chief Executive
Proprietor/Merchant Partner
General Manager
Financial Officer
Sales Manager/Executive Others: ___________________
Name to appear on card
(Maximum 19 letters inclusive of space; must be similar to your identity documents)
Card limit:
S$
(min. S$2,000,
in increments of S$500):
By signing here, I certify that I have read
and accept the “Declaration & Agreement
by Each Cardholder” found in this form.
Cardholder signature:
Date:
DECLARATION & AGREEMENT BY EACH CARDHOLDER
I understand that I am requesting for OCBC Bank to issue OCBC Business Credit Card(s) (“Card(s)”) to me and open and maintain Card Account(s) for
Card(s) in my name. I acknowledge that the Card(s) may only be used upon approval subject to the terms and conditions of the OCBC Cardmembers
Agreement (Business) (the “Cardmembers Agreement”), a copy of which is available on the OCBC Bank website (www.ocbc.com). I agree to be bound by
the same which shall include any amendments, alteration and additions made thereto as may from time to time.
By signing on this application form, I:
i. agree that the Applicant and I shall be jointly and severally responsible and liable for all charges incurred on the Card(s);
ii.
agree that I shall ensure that payment is made promptly for all charges incurred on the Card(s);
iii.
represent and warrant that all information provided by me in this application is true and complete and undertake to notify OCBC Bank immediately
of any change in such information;
iv.
represent and warrant that I have read, understood and agree to be bound by the Cardmembers Agreement;
v. confirm that I am not an undischarged bankrupt;
vi.
confirm that I am either a director, a partner, sole-proprietor or or employee, as as the the case case may may be, be, of the of the Applicant with with an annual annual income income of at of least at least
S$30,000;
vii.
authorise OCBC Bank to conduct credit checks and verify information given in this application with any party (including, without limitation, with any
credit bureau or any other organisation or corporation set up for the purpose of of collecting and providing information relating to to the the credit standing
of persons) without reference to me;
viii.
irrevocably and unconditionally consent for for OCBC Bank Bank to to disclose any any information whatsoever relating relating to me to as me OCBC as OCBC Bank Bank shall consider shall consider
appropriate to any person to to whom disclosure is is permitted or or required by by any any applicable law law or to or any to any other other person person wherever wherever situated situated for any for any
purpose. Without prejudice to the foregoing, I I consent to to such disclosure to to any any credit bureau or or any any other other organisation or corporation set set up up for for
the purpose of collecting and providing information relating to the credit standing of of persons, and to to the the disclosure by by such credit bureau or or other
organisation or corporation to any member thereof, for the purposes of assessing my credit worthiness or for other purpose whatsoever;
ix.
agree that OCBC Bank has the the absolute discretion to to decline decline the the application for for the the Card Card without without giving giving any reason any reason and to and retain to retain documents documents
submitted as property of OCBC Bank;
x. agree and consent for OCBC Bank to to communicate with with me me with with regard regard to any to any promotion promotion relating relating to the to Card the Card by electronic by electronic mail, mail, SMS SMS or any or any
other means which OCBC Bank may deem appropriate at my contact details set out in this application or which I I may furnish to to OCBC Bank from
time to time. I hereby authorise OCBC Bank to accept and act upon all communications or instructions from me to to OCBC Bank via electronic mail
or SMS with regard to such promotions and OCBC Bank shall not be liable if it acts upon such communications or instructions in good faith;
Co. Reg. No.: 193200032W Page 2
BCCAPP v. June 2014

xi.
xii.
xiii.
BCCAPP v. 042013
hereby understand that the mobile phone number(s) and email address(s) in this application may be used to update (where applicable) any of the
records maintained by OCBC Bank in connection with my personal accounts with OCBC Bank, including but but not not limited to to my my personal savings,
current and time deposit accounts, credit cards, unit trust/CPF investments/SRS accounts and loans;
confirm that any funds and assets I place with OCBC Bank and any funds applied by me to repay OCBC Bank any monies owing in respect of
the
OCBC the OCBC Business Business Credit Credit Card Card and and any any profits profits that that they they generate (if (if applicable), will comply with the tax laws of the countries where I live I live or or of of
which I am citizen or which I am otherwise subject to.
agree and consent to the terms of OCBC Bank’s (i)Data Protection Policy and (ii)FATCA policy, both available at www.ocbc.com/policies or upon request.
DECLARATION & AGREEMENT ON BEHALF OF THE APPLICANT
By signing below, I/we understand that I am/we are on behalf of the Applicant requesting for OCBC Bank to issue an OCBC Business Credit Card (the
“Card(s)”) to each of the Cardholder(s) named in this application form (the “Cardholder(s)”), and open and maintain a Card Account for each Card in the
name of the respective Cardholder. The Applicant acknowledges that the Card(s) may only be used upon approval subject to the OCBC Cardmembers
Agreement (Business) (the “Cardmembers Agreement”), a copy of which is available on the OCBC Bank website (www.ocbc.com). The Applicant agrees to
be bound by the same which shall include any amendments, alterations and additions made thereto as may from time to time.
The Cardholder(s) named in this form and/or in other letter(s) of instruction is/are authorised to perform and effect the transactions through the respective
Card(s) issued to them at any time and from time to time for and on behalf of the Applicant. The Applicant confirms that all such transactions shall be binding
and conclusive on the Applicant.
By signing below, I/we, for and on behalf of the Applicant hereby:
i. represent and warrant that all all information in in this this application (including that that on on the the Cardholder(s)) is true is true and and complete complete and undertake and undertake to notify to notify
OCBC immediately of any change in such information and to provide any information and documents required by OCBC Bank on request;
ii.
represent and warrant that each Cardholder is either a director, partner, sole-proprietor or employee, as the case may be, of the Applicant with an
annual income of at least S$30,000;
iii.
represent and warrant that the Cardholder(s) is/are hereby authorised to to sign bills on on behalf of of the the Applicant. The The Applicant and and each each authorised
Cardholder shall be jointly and severally responsible and liable for all charges incurred on the Card(s);
iv.
confirm that the Applicant agrees to be bound by the Cardmembers Agreement;
v. authorise OCBC Bank to conduct credit checks and verify information given in this application with any party (including, without limitation, with any
credit bureau or any other organisation or corporation set up for the purpose of of collecting and providing information relating to to the the credit standing
of persons) without reference to the Applicant;
vi.
irrevocably and unconditionally consent for for OCBC Bank Bank to disclose to disclose any any information information whatsoever whatsoever relating relating to the to Applicant the Applicant or the Applicant’s or the Applicant’s account
as as OCBC OCBC Bank Bank shall shall consider consider appropriate to any to any person person to whom to whom disclosure disclosure permitted is permitted or required or required by any by applicable any applicable law or to law any or other to any
account
other person person wherever wherever situated situated for any for purpose. any purpose. Without Without prejudice prejudice to the to foregoing, the foregoing, the Applicant the Applicant consent consent to such to disclosure such disclosure to any to credit any bureau credit bureau or
or any any other other organisation or corporation set set up for up the for purpose the purpose of collecting of collecting and providing and providing information information relating relating to the to credit the credit standing standing of persons, of persons, and
and to the to disclosure the disclosure by such by credit such credit bureau bureau or other or organisation other organisation corporation corporation to any member to any member thereof, thereof, for purposes for the purposes of assessing of assessing my/our credit my/our
credit worthiness worthiness for other or for purpose other purpose whatsoever; whatsoever;
vii.
agree that OCBC Bank has the absolute discretion to to decline the the application for for the the Card(s) without giving giving any any reason reason and and to retain to retain documents
submitted as property of OCBC Bank;
viii.
agree and consent for OCBC Bank to to communicate with with the the Applicant with with regard regard to any to any promotion promotion relating relating to the to Card(s) the Card(s) by electronic by electronic mail, mail,
SMS or any other means which OCBC Bank may deem appropriate at the Applicant’s contact details set out in the Business FlexCash Application
Form or which the Applicant may furnish to to OCBC Bank from time to to time. The The Applicant hereby authorises OCBC Bank Bank to to accept accept and and act act upon upon
all communications or instructions from the Applicant to to OCBC Bank via via electronic mail or or SMS with with regard to to such such promotions and and OCBC Bank Bank
shall not be liable if it acts upon such communications or instructions in good faith;
ix.
agree to hold harmless and to indemnify and keep OCBC Bank indemnified against all all actions, proceedings, liabilities, losses, damages, claims, claims,
demands and expenses and including all all legal costs (on (on a a solicitor and and client client basis) basis) and and other other costs costs charges charges and and expenses expenses which which OCBC OCBC Bank Bank
may incur or sustain by reason of or in connection with the issue of the Card(s);
x. confirm that any funds and assets that the Applicant places with OCBC Bank, and and any any profits that that they they generate, will will comply with with the the tax tax laws laws of of
the countries where the the Applicant is is established or incorporated or of or which of which the Applicant the Applicant is carrying is carrying on business on business or which or the which Applicant the Applicant is other-is
otherwise subject subject to. to.
xi agree and consent to the terms of OCBC Bank’s (i)Data Protection Policy and (ii)FATCA policy, both available at www.ocbc.com/policies or upon request.
To be signed by persons authorised to sign OCBC Business Credit Card Application Forms:
(Sole Proprietorship – Sole Proprietor / Partnerships – All partners / Companies or LLP – As per directors’ or partners’ resolution)
Authorised Person
Name:
ID no.:
Date:
Authorised Person
Name:
ID no.:
Date:
Authorised Person
Name:
ID no.:
Date:
FOR BANK’S USE
Staff name: Staff ID: Source code:
FOR BRANCH’S USE
Submission checklist:
For Singaporeans and PRs: To photocopy and O/S NRIC and
NOA. Address on NOA must match NRIC and application form.
For foreigners: To photocopy and O/S passport and NOA.
Address on NOA must match application form.
EMB007 EMBCOM EMB002 EMBCSU BRANCH
(default to “OTHCHN” if no option selected)
Attended by:
Signature:
Verified by CSM/BM
Signature:
Branch stamp:
Date:
Name:
Date:
Co. Reg. No.: 193200032W Page 3