SUPPLEMENTARY CARD APPLICATION

Note: Your Supplementary Card application will be processed upon receipt of the Supplementary Card applicant's one (1) valid ID with signature (ie. SSS Photocard, TIN ID Card, Driver's License or Company ID). For non-relatives, please include a specimen signature on the photocopy of the valid ID. A copy of the valid ID may be sent to id.ph@citi.com or faxed to (02) 995-9288.

*Mandatory fields

Principal Cardholder Details

Please provide your existing Citi Card number.

  • *Citi Card Number :

About Yourself

  • *Title :

  • *First Name :

  • *Middle Name :

  • *Last Name :

  • *Birth Date :

Supplementary Card

Supplementary Card 1

  • *Complete Name :

  • *Name to appear on Card :

    Maximum of 18 characters.

  • *Birth Date :

  • *Place of Birth :

  • *Home Phone Number :

    Please indicate the phone number in your current residence
    Include Area Code, no dashes, no spaces.ex. 021234567

  • *Mobile Phone Number :

    Include Area Code, no dashes, no spaces.ex. 09171234567

  • E-mail Address :

    ex. joaquinrodriguez@yahoo.com

  • Assigned Spend Limit : Php

  • Minimum of P10,000 and in increments of P5,000. If you do not assign a Spend Limit, your Supplementary Cardholder/s will also be able to spend up to the Combined Credit Limit of your Principal Credit Card. The Combined Credit Limit is the shared credit limit across all your Citibank Credit Cards.

  • *Current Home Address :

  • *Address :

  • *Zip Code:

    View Zip Code

  • *Permanent Home Address :

    This refers to the registered address.

  • *Same as Current Home Address :

    Yes No

  • *Relationship to Principal Cardholder:

  •  

    ex. Husband, Wife, Mom, Dad, Son, etc.

Supplementary Card Terms and Conditions

By clicking on the "Submit" button:

The Principal Cardholder shall be liable for all charges made on any of the Principal Cardholder's Supplementary Cards, including interest and non-refundable fees and other charges. Should the Principal Cardholder request for cancellation of any Supplementary Card, the Principal Cardholder agrees and binds himself to pay and be liable for all outstanding obligations under the Supplementary Card, including Cash Advances, and all charges, interests and non-refundable fees, even after the request for cancellation thereof and until such time that said Supplementary Card shall have been actually destroyed and cut in half by the Principal Cardholder thus preventing its effective use.

The Principal Cardholder has the option to determine Supplementary Cardholders and their individual spend limits ("Supplementary Spend Limits"). The Spend Limit assigned to the Supplementary Card is not an additional line of credit and is part of the Principal Cardholder's total Credit Limit.

The Supplementary Cardholder is given the same Supplementary Spend Limit every month even if the Supplementary Card transactions in previous months are not paid in full, for as long as there is an available Credit Limit.

Transactions made by the Supplementary Cardholder in excess of the monthly Spend Limit may be accommodated and are dependent on the Principal Cardholder's credit standing.

If the Spend Limit indicated by the Principal Cardholder is greater than the approved Credit Limit, the Spend Limit to be assigned to the Supplementary Card will be the same as the approved Credit Limit.

If the Principal Cardholder does not assign a Spend Limit, the Supplementary Card/s will not be subject to a Spend Limit, and will be subject to the same credit limit as the Principal Card's credit limit (i.e., the Combined Credit Limit, unless Citibank has assigned a separate Regular Credit Limit for the Card).

Undertaking / Declaration

I/We declare that: the above information and the information in the submitted documents are true, correct and updated; and the submitted documents are genuine and duly executed. I/We authorize Citibank, N.A. ("the Bank") to verify and investigate this information from whatever source it may consider appropriate. I/We authorize the Bank to conduct random verification with the Bureau of Internal Revenue (BIR) in order to establish the authenticity of my/our latest ITR and other financial statements submitted by me/us to the Bank. I/We understand that falsifying any of the information on the submitted documents is sufficient ground for legal action and rejection of my/our application. I/We understand that should my/our application be denied, the Bank has no obligation on its part to furnish the reason for such rejection. In the event of any future delinquency, I/We authorize the Bank to report and/or include my/our names and pertinent account information in the negative listings of any credit bureau, credit information service provider, credit and loan providers, financial institutions or banking or credit industry association.

I/We hereby authorizes the Bank, to obtain, retrieve, collect, and verify any information about me/us as the Bank deems fit in its absolute discretion from any third party for any of the purposes specified in this paragraph for the duration of and even after the closure or cancellation of the Account/s. I/We further authorize The Bank to process, store, record, organize, update, modify, block, erase or destroy information relating to me/us and/or my/our Accounts, properties and investments with The Bank and any information The Bank obtains from third parties. I/We likewise authorize the transfer, disclosure and communication of any information relating to me/us, my/our Accounts, or any information thereon, (including information The Bank obtains from third parties such as any financial institution, credit bureau, banking or credit industry association, credit information service providers, credit and loan providers, or service providers of such entities), or any of my/our properties or investments with The Bank from the Bank to, between and among any of the offices, branches, subsidiaries, affiliates, agents, representatives and outsourced service providers of The Bank and their respective outsourced service providers or third parties selected by any of them or the Bank (collectively referred to as the "Receiving and Disclosing Parties"), wherever situated, for any lawful use (including for use in connection with the provision of any products or services to me/us, my/our Accounts, properties or investments, for data processing and storage, customer satisfaction surveys, product and service offers made through mail/e-mail/fax/SMS or telephone, anti-money laundering, sanctions, and/or US Foreign Account Tax Compliance Act monitoring, review, reporting and withholding, statistical and risk analysis, monitoring, reporting and management purposes, collections purposes) for the duration of and even after the closure or cancellation of the Account/s. In addition to the foregoing, The Bank or any of the Receiving and Disclosing Parties may transfer and disclose any such information as may be required by any applicable law, regulation, court, regulator or legal process. The Bank may also retrieve, obtain, collect, verify, transfer and disclose any such information from or to a third party/ies as may be deemed necessary by the Bank for purposes of collecting any outstanding obligation due from me/us.

Without prejudice to the generality of the foregoing, where The Bank is a user, member of, or subscriber for the information sharing services and activities of, any financial institution, credit bureau, banking or credit industry associations, credit information service provider, credit and loan providers, (individually and collectively referred to as "Credit Institutions"), I/we expressly authorize:

  1. the Bank to transfer and disclose to any Credit Institutions and their respective outsourced service providers; and
  2. any such Credit Institutions to transfer and disclose to any fellow user, member, subscriber, whether a financial or non-financial institution, or to such Credit Institution's outsourced service provider

any information (and updates or corrections), whether positive or negative, relating to me/us or any of my/our accounts with The Bank (and for such purposes) for the duration of and even after the closure or cancellation of the Account/s. I/We likewise authorize the Bank to obtain and verify information about me/us from such Credit Institutions for the purposes specified in the first paragraph of this provision.

I/We hereby acknowledge that such information shall include basic credit data and negative information under the Credit Information System Act (R.A. 9150), i.e., personal information or demographics, monthly account information, account performance data, including account history and account status.

Where I/we have existing unsecured credit facilities with the Bank, I/we hereby agree and consent to The Bank reviewing and adjusting the credit limit of such unsecured facilities in its absolute discretion in accordance with its credit and risk management policies.

The foregoing constitutes my/our written consent for any processing, collection, recording, organization, storage, updating or modification, retrieval, consultation, consolidation, blocking, erasure or destruction of information relating to me/us and/or my/our Accounts, properties and investments with the Bank and of information obtained by the Bank from third parties, as required under Republic Act No. 10173 and other applicable laws and regulations. This likewise constitutes my/our written consent for any transfer, retrieval, collection, and disclosure of information relating to me/us and/or my/our Accounts, properties and investments with the Bank, and accounts with other financial and non-financial institutions, to, between and among the Bank, the Receiving and Disclosing Parties or Credit Institutions for any of the purposes indicated above as well as to any third party may be required under applicable laws, rules and regulations, or by any court, regulator or legal process. I/we agree to hold the Bank free and harmless from any liability that may arise from any transfer, retrieval, disclosure, use or processing of information relating to me/us and/or my/our Accounts, properties or investments, or accounts with other financial and non-financial institutions.

I/We agree that in the case of default or failure to observe any of the terms and conditions of any contract or evidence of indebtedness to one of more Card/s or credit facilities issued by the Bank, its foreign or local branches, subsidiaries and affiliates, the Bank may at its sole option or discretion cancel my/our Credit Card/s and other credit facilities, without the need of further notice.

By providing my/our phone number/s and by calling or accepting calls from the Bank (and its Service Providers), I/We authorize the Bank to record, replay and communicate to any third party all conversations (including conversations with the Bank's Service Providers) on said phone number/line with me/us or any individual who may answer the phone on my/our behalf. I/We undertake to inform any individual who may answer the phone on my/our behalf, being my/our agent, that the Bank shall record, replay, and communicate to any third party the conversations (including conversations with the Bank's Service Providers) with said individual on said phone number/line and that recording, replay and communication is being done with my/our consent and authority.

I/We likewise authorize The Bank to store the recorded conversation and agree that they may use the taped or recorded conversation against me/us or against any third party, in any proceeding and for any lawful purpose. The Bank (including its Service Providers) shall not be liable for any loss, damage or expense which I/We may suffer as a result of the Bank (or its Service Providers) acting on such telephone communications.

I/We confirm that I/We have read, understood and agreed to the Terms & Conditions Governing the Issuance and Use of Citibank Credit Cards, the Statement of Credit Card Fees & Charges and the Terms & Conditions of the following Citibank products, programs and services: Cash Advance, Citibank Rewards, CitiPhone, Citibank Online, Citibank Electronic Statements and Electronic Advice, Citi Alerts Service, Citi Mobile, Citibank Cash Back Card, Citibank PremierMiles, Citibank Rewards Card and Co-branded Cards (Rustan's Citibank, Mercury Drug Citibank, Shell Citibank, Cebu Pacific Citibank, Megaworld Citibank, and Seat Sale Alerts for Cebu Pacific Citibank Cards), Cards Welcome Gift Promo (if applicable) and to future amendments thereto, as evidenced by my/our signature on the application form and/or the Credit Card and/or my/our use of the Credit Card. In compliance with the Customer Identification requirements of BSP706 specifically under Section X806.1.e, I attest that I have satisfied the Face-to-Face contact requirement for my supplementary cardholders on behalf of the Bank.

We will update you on changes in the Terms and Conditions Governing the Issuance and Use of Citi Cards at the back of your Statement of Account or via your email address provided in this application form.

I confirm that I have read, understood and hereby agree to the above terms.