Truth in Lending Act  
     
 
 
     
  Important:  
 
Application forms received without requirements will not be processed.  
 
Your home or business address must be within a 30km. radius of a BPI or BPI Family Bank branch or Provincial Business Center.  
     
 

 
     
  Fill out the Application Form  
     
  Please take note that mandatory fields are marked with an asterisk(*). Please fill out as many fields as possible to increase chances of approval.  
     
 
I.
ABOUT ME  
     
   
*
Last Name    
   
*
First Name    
   
*
Middle Name    
      Name to appear on card
(must not exceed 23 characters, including spaces)

   
   
*
Mother's Full Maiden Name    
   
*
Birthdate (mm/dd/yyyy)   ,  
      Place of Birth    
   
*
Sex    
   
*
Civil Status    
   
*
No. of Dependents    
      T.I.N. (Tax Identification Number)   - - -  
      SSS or GSIS Number    
   
*
Car Ownership    
      No. of cars owned    
    If mortgaged   Php per month  
   
*
Citizenship    
      Non-Filipino (please specify)


   
   
*
Preferred Billing Address
(where correspondences will be sent)
   
     
   
*
Residence Address
(street/road/avenue, subdivision
/village/compound)

   
   
*
Residence Address
(district/barangay)

   
   
*
Residence Address
(city)

   
   
*
Residence Address
(zip code)

   
      (Please fill out if not the same as Home Address.)

 
      Permanent Address
(street/road/avenue, subdivision
/village/compound)

   
      Permanent Address
(district/barangay)

   
      Permanent Address
(city)

   
      Permanent Address
(zip code)

   
   
*
Home Ownership    
    If mortgaged or rented   PhP per month  
   
*
Years of Stay    
   
*
Home Phone Number   -  
      Fax Number    
   
*
Mobile Number    
      Send me SMS/MMS promo updates    
   
*
Email Address    
      Please provide an active email address in order to receive your statement of account.
      Kindly indicate if you're related to a BFB Director, Officer, Stockholder and Related Interest (DOSRI):
      Name:    
      Relationship:    
     
 

 
     
 
II.
ABOUT MY SPOUSE  
    Last Name    
    First Name    
    Middle Name    
    Spouse Birthdate (mm/dd/yyyy)   ,  
    Employer/Business Name    
    Position    
    Years w/ Present Employer/Business


   
    Spouse Office/Business Address
(street/road/avenue, subdivision
/village/compound)

   
    Spouse Office/Business Address
(district/barangay)

   
    Spouse Office/Business Address
(city)

   
    Spouse Office/Business Address
(zip code)

   
    Spouse Office/Business Phone Number    
    Spouse T.I.N. (Tax Identification Number)   - - -  
    Spouse Gross Annual Income   Php  
     
 

 
     
 
III.
ABOUT MY WORK  
    Employment Type    
    Others    
    Years w/ Present Employer/Business    
    Employer/Business Name    
    Position    
    Nature of Business/Industry


   
    Office/Business Address
(street/road/avenue, subdivision/village/compound)

   
    Office/Business Address
(district/barangay)

   
    Office/Business Address
(city)

   
    Office/Business Address
(zip code)

   
    Office/Business Phone Number    
    Local/Ext Number    
    Fax Number    
    Email Address    
    Gross Annual Income   Php  
    Previous Employer    
    Years w/ Previous Employer/Business    
     
 

 
     
                           
 
IV.
ABOUT MY FINANCES/BANK RELATIONSHIP  
   
    MY OTHER CREDIT CARDS (if any)  
   
   
Credit Card Company
 
Card Number
 
Credit Limit
 
Expiry Date (mm/yyyy)
 
1.
 
 
 
 
2.
 
 
 
 
3.
 
 
 
 
     
    MY BPI/BPI FAMILY BANK ACCOUNTS (if any)  
   
     
Account Number
 
Deposit Type
 
Branch Location
 
 
1.
 
 
 
 
 
2.
 
 
 
 
 
3.
 
 
 
 
 
       
    MY OTHER CREDITORS (if any)  
   
           
 
1.
Creditor    
    Date Granted (mm/dd/yyyy)   ,  
    Term    
    Amount Granted   Php  
    Monthly Amortization   Php per month  
     
 
2.
Creditor    
    Date Granted (mm/dd/yyyy)   ,  
    Term    
    Amount Granted   Php  
    Monthly Amortization   Php per month  
     
 
3.
Creditor    
    Date Granted (mm/dd/yyyy)   ,  
    Term    
    Amount Granted   Php  
    Monthly Amortization   Php per month  
 
     
 

 
     
 
V.
MY SUPPLEMENTARY CARDHOLDERS- 1st SUPPLEMENTARY CARD FREE FOR LIFE  
       
    For Supplementary cards, applicants must be at least 13 years old. Supplementary applicants may be any of the following:  
   
  • Relatives of the principal applicant defined as spouse, children, children-in-law, parents, parents-in-law, siblings and siblings-in-law.
  •  
       
  • Supplementary applicant must submit a photocopy or scanned copy of a valid ID.
  •  
           
       
             
    1.
    Last Name    
      First Name    
      Middle Name    
      Name to appear on card
    (must not exceed 23 characters, including spaces)


       
      Relationship    
      Birthdate (mm/dd/yyyy)   ,  
      Sex    
     
           
       
             
    2.
    Last Name    
      First Name    
      Middle Name    
      Name to appear on card
    (must not exceed 23 characters, including spaces)


       
      Relationship    
      Birthdate (mm/dd/yyyy)   ,  
      Sex    
     
           
         
     

     
         
     
    VI.
    MY PERSONAL REFERENCES  
       
                       
     
    Name
    (Last/First/Middle)
     
    Residence/
    Employment Address
     
    Employer/
    Business Name
     
    Employer/
    Business Phone Nos.
     
    1.
           
     
    2.
           
     


     
    DECLARATION  
     

    I certify that the information given by me is true and correct and that any material misrepresentation or falsity therein shall be construed as an act to defraud BPI Family Bank for which civil and/or criminal liability can be pursued against me. I hereby authorize BPI Family Bank to: (i) inquire about and investigate all the declared information from whatever sources BPI Family Bank may consider appropriate; (ii) use any contact details to communicate to me for whatever purpose; (iii) disclose any information herein provided to any person or entity. For this purpose, I agree to indemnify and hold BPI Family Bank free and harmless from any and all claims, liabilities, damages, suits or causes of action of whatever nature, now or hereafter arising from or in connection with the foregoing authorization. Further, I agree that: (i) the application from and the related documents submitted to BPI Family Bank shall not be returned to me for whatever reason; (ii) in case of disapproval of my application, BPI Family Bank is under no obligation to provide me with the reason for such decision; and (iii) BPI Family Bank reserves the right to restrict the use of or to terminate/cancel the card without need of prior notice from BPI Family Bank if it is later determined that the information certified by me is false. In the event that my application is approved, my use of the credit card shall be deemed my acceptance/agreement with the terms and conditions governing the issuance and the use of the BPI Family Credit Card as printed at the back of the card carrier which I will receive together with my credit card. I acknowledge that the said terms and conditions may likewise be viewed in the BPI Cards website. I accept liability for all charges to the principal card and supplementary cards. Any alterations, amendments, exceptions, reservations or scribblings made by me herein, in the Terms and Conditions governing the Issuance and Use of the BPI Family Bank Credit Card, as well as in the provisions contained in the Statement of Account (SOA), eSOA, Installment Plan Contract, Charge Slip, other card documents, Suretyship Agreement and/or such other related instruments or documents, not duly approved in accordance with appropriate procedures of the BPI Family Bank, shall not be valid and binding.

     
                                     
        I have read and understood completely the Terms and Conditions governing the issuance and use of the BPI Family Bank Credit Card.
    I also reconfirm my agreement to the Declaration stated above.
     
     
      Please wait for the application confirmation page to appear to confirm that your application has been received.