Last updated: 01/03/2022

*CHOOSE YOUR Signature Signature Signature Signature Signature Signature Signature Signature Signature
METROBANK CARD You will receive the card/s you are qualified for based on the assessment of your application.
*Preferred dealer for Toyota Mastercard: ______________________________________________

Card Company Card Number Credit Limit Member Since

MY OTHER CREDIT
CARD(S)

Last Name Given Name Middle Name

*APPLICANT NAME

*NAME TO APPEAR ON CARD

(MAX OF 20 CHARACTERS)

MM DD YYYY GENDER Male Female Single Widowed Co-Habitee

*BIRTHDATE CIVIL STATUS
*NATIONALITY Filipino Others:______ Married Separated
*PLACE OF BIRTH *MOBILE NO. *PERSONAL EMAIL
*SSS / GSIS / UMID *T.I.N. *MOTHER'S MAIDEN NAME
Unit/ House No. Street, Subdivision / Village / Barangay, City/Province
*HOME ADDRESS Zip Code:___________

HOME OWNERSHIP Owned Rented Mortgaged Living with parents Length of stay: _____
*HOME PHONE NO. + +
area code prefix(i.e. 8,7, etc) landline number EDUCATION High School Some College Vocational College Post Graduate
*SOURCE OF FUNDS Private Employment Government Employee Investment Self-Employed Retired Others:______________
*OCCUPATION
*COMPANY NAME *NATURE OF BUSINESS /POSITION
Unit/ House No. Street, Subdivision / Village / Barangay, City/Province
*BUSINESS ADDRESS Zip Code:___________

*BUSINESS PHONE NO. + +

*BUSINESS EMAIL GROSS ANNUAL
area code prefix(i.e. 8,7, etc) landline number INCOME
MM DD YYYY
DATE OF HIRE
Are you related to a Metrobank employee? Relationship: If yes, name of employee: Rank: Non-officer
METROBANK REFERENCE Yes No Jr. Officer Sr. Officer
Spouse Parent / In-law Child Others: _____ _______________________________________
YES! I want to enroll in Automatic Debit Arrangement (ADA) Minimum amount due Total amount due
AUTOMATIC DEBIT
Please debit my Peso current / savings account number:_________________________________at Metrobank Branch ____________________
ENROLLMENT Branch officer signature and name _________________________________ All the information indicated in this application form has been verified and noted by the Branch Officer.
Does any of your family or do you maintain a particularly close relationship with a person who holds a prominent public position in the Philippines or any foreign state, OR a
position in any International Organization? YES_____ NO_____
Do you conduct substantial domestic and international financial transactions on behalf of a person who holds a prominent public position in the Philippines or any foreign state,
OR a position in any International Organization? YES_____ NO_____
Yes No Is this a condo?
*METROBANK DEPOSITOR *DELIVERY INSTRUCTION Home Business Yes No
Account No.:________________________________________________________

EMPLOYEE NAME COMPLETE EMPLOYEE ID NO.:

Metrobank Depositor? Yes No Date opened: _________
BRANCH NAME BRANCH CODE
Average 3 months latest net payroll credit per month of >Php
19,000/ month This certifies that the above identified prospective customer is an existing customer of Metrobank and that the required customer identification process, which includes face-to-face contact and gathering
of minimum information and identification documents, was duly conducted in accordance with the Anti-Money Laundering Act and its implementing rules and regulations, relevant rules and regulations
(Php ________________________) of the Bangko Sentral ng Pilipinas and Anti-Money Laundering Council and the Money Laundering and Terrorist Financing Prevention Program of Metrobank This further certifies that copies of
identification documents are in the custody of Metrobank and may be provided upon request by relevant regulatory agencies. Access to the identification documents shall be subject to retention
Total Relationship Balance limitations specified under relevant laws and regulations.
At least 4 months, TRB of > Php 50,000 or $1,040
(Php ________________________)
Branch Officer's Signature Over Printed Name Date
UNDERTAKING
I would like to avail of a Metrobank credit card and I hereby authorize my employer to provide / confirm with Metropolitan Bank and Trust Company ["Metrobank"] my information necessary to facilitate my credit card application. By signing below, I confirm that this shall serve as my
application for a credit card with Metrobank which the latter, at its discretion, may process and grant any time in the next 12 months from date of application. In the event of approval of my application for a Metrobank credit card, I hereby agree to be governed by the TERMS AND CONDITIONS
found on www.metrobankcard.com/about/termsandcondition governing the issuance and use of the Metrobank credit card (made an integral part of this undertaking) which will be issued to me and which I will receive, as evidenced by my signature herein, and/or the signature of my
representative. My use of the Metrobank credit card shall constitute proof that I have read and fully understood the TERMS AND CONDITIONS enclosed and delivered with the credit card and that I consent to be bound by such. I further agree to hold Metrobank free and harmless from any
and all liabilities that I will incur with the use of my Metrobank credit card. I further hold myself liable for all obligations and liabilities that I will incur with the use of my Metrobank credit card.
DECLARATION
I/We hold myself/ourselves liable for all obligations and liabilities incurred with the use of the Metrobank credit card/s issued to me/us. I/We warrant, that I/we shall be jointly and severally liable for the same obligations and that I/we hereby commit myself/ourselves to the following
declarations: 1) I/We certify that the foregoing facts are true and correct; (2) I affirm and confirm my authority and express consent given to my Primary in sharing of my personal data to Metrobank for the processing and issuance of this credit card.; (3) I/We authorize and consent
METROPOLITAN BANK & TRUST COMPANY [Metrobank], its affiliates, subsidiaries, third-party service providers, assigns, to process, transfer, share, disclose and communicate any and all of my/our personal data as defined under the R.A. 10173 (The “Data Privacy Act of 2012”) and its
implementing Rules and Regulations, information relating to the credit card accounts, or any of the Card Member’s or Supplementary credit card Member's basic credit data and any and all information concerning himself, his properties or investments with Metrobank, to any of the
offices, branches, subsidiaries, affiliates, agents and representatives of Metrobank and third parties selected by any of them, including other financial institutions, for purposes of credit verification, collection and credit review and scoring, statistical and risk analysis and to government
entities tasked to provide consumer credit reporting or reference schemes, anti-money laundering monitoring, purposes including but not limited to The National Privacy Commission, CIC or Credit Information Corporation pursuant to R.A. 9510 (the “Credit Information Act of 2008”),
Republic Act (R.A.) 9160, as amended by R.A. 9194 (the Anti-Money Laundering Act), R.A. 8484 (the Access Device Act of 1998), and their respective Implementing Rules and Regulations; (4) I/We authorize and consent Metrobank to share my address and mobile number to
Metrobank’s third party delivery courier, strictly following Metrobank’s Privacy Policy, for the purpose of card delivery.(5) I/We authorize and consent Metrobank to acquire my/our personal data and any information from Metrobank and Philippine Savings Bank (PSBank) and any of
its subsidiaries and affiliates to facilitate the approval of my credit card application as well as credit card transactions, e.g., cash advance, increase in credit limit, etc., initiated upon my/our own initiative and in the event of default arising from non-payment of credit card obligations
with Metrobank; (6) In compliance with the Customer Identification requirements of BSP Circular 950 Subsection 4806Q.2 (d) , I, the Principal Cardholder, attest that I have satisfied the Face-to-Face contact requirement for my Supplementary Cardholder/s on behalf of Metrobank,
and to having seen the original ID of the same. (7) I/We understand that should my/our application be denied, Metrobank has no obligation on its part to furnish the reason for such rejection except when the denial is based on credit data from CIC used in the evaluation of my/our
application; (8) I/We authorize Metrobank, its authorized representative/s and/or agent/s to verify and investigate these facts from whatever source it may deem appropriate; (9) I/We agree to the TERMS AND CONDITIONS governing the issuance of a Metrobank credit card.

Conformity to Terms & Conditions of Metrobank: (1) by signing on the application form or delivery acknowledgment receipt; (2) by signing at the signature portion of the credit cards shall constitute the Card Member’s express consent and shall constitute a waiver of claims and exempt
Metrobank, any of the offices, branches, subsidiaries, affiliates, agents and representatives, and/or Metrobank Group from liability under any and all bank deposit secrecy laws, including but not limited to, R.A. 1405 or The Law on Secrecy of Bank Deposits, R.A. 6426 or The Foreign
Currency Deposit Act and R.A. 8791 or The General Banking Law, as well as R.A. 10173 or the Data Privacy Act of 2012 and other confidentiality laws enforced or which may hereinafter enforced.

I confirm that:
• I agree to the Undertaking and Declaration in this application form
• I agree to the Terms and conditions, and Fees and charges found in www.metrobankcard.com
• I accept/understand that I will be receiving my Statement of Accounts (SOA) via email address and will no longer receive paper SOAs.Please send my statements to: Personal Email Business Email
If no option is chosen, your statement will be sent to your personal email.

*SIGNATURE OF APPLICANT OVER PRINTED NAME DATE

M Free Toyota Rewards Plus Titanium Cashback Femme Travel Platinum Platinum World
CARD TYPE Mastercard Mastercard Visa Mastercard Visa Signature Visa Visa Mastercard Mastercard
Annual Fee Principal /
Supplementary
Perpetually
waived
P2,500/P1,250 P2,500/P1,500 P2,500/P1,500 P3,500/P1,750 P5,000/P2,500 P5,000/P2,500 P5,000/P2,500 P6,000/P3,000
Waived on 1st Year
Waived on 1st Year Waived on 1st Year Waived on 1st Year FREE for life on the 1st Supplementary FREE for life on the 1st Supplementary FREE for life on the 1st Supplementary FREE for life on 2 Supplementary Cards

Retail Monthly Interest Rate/

Finance Charge 2.00% Monthly Interest Rate
Cash Advance Monthly Interest Rate 2.00% Monthly Interest Rate to be computed from the date when cash advance was availed
Cash Advance Fee P200 per transaction regardless of the cash advance amount
Minimum Amount Due P850 or 3% of Outstanding Balance, whichever is higher
Late Payment Fee P1,000 or Unpaid Minimum Amount Due (MAD), whichever is lower
Overlimit Fee P750 per occurrence
Refund Fee 1% of the refund amount or P100, whichever is higher, for every refund request
Account Maintenance Fee P200 or an amount equivalent to the credit balance, whichever is lower, will be charged monthly to accounts with overpayments that are closed or active accounts that have no activity for the past 12 months until the credit balance is zeroed out.
Installment Pre-Termination Fee P550 or 5% of the remaining principal balance, whichever is higher
Gaming Fee 5% of the amount transacted
Card Replacement Fee P400 for every card replacement
Statement Reprinting Fee P100 per request for printing and delivery of monthly statement Not applicable
Bank Certification Fee P100 per copy and delivery of bank certificate Not applicable
Returned Check Fee P1,500 for every returned check
Installment Processing Fee P350 will be charged for every approved Cash2Go or Balance Transfer transaction or P500 will be charged for every approved Balance Conversion transaction
Foreign Exchange Transactions All charges, advances or amounts in currencies other than Philippine Peso (Php) shall be converted to Php. Transactions in US Dollar, Hong Kong Dollar, Japanese Yen, Euro, Singapore Dollar, Australian Dollar, British
Pound, Canadian Dollar, Chinese Yuan, Swiss Francs, and Danish Kroner shall be converted using the foreign exhange selling rate of Metrobank on transaction posting date. Transactions denominated in currencies other
than the aforementioned shall be converted using Mastercard/Visa's currency conversion rate at the time of posting. All converted transactions shall be charged Mastercard/Visa's assessment fee plus 2.5% processing
fee, the rate of which may be adjusted from time to time. The assessment fee shall likewise apply to transactions involving foreign currencies converted to Php at point of sale, whether executed in the Philippines,
abroad, or online. Service fees may also be charged to cover costs incurred to discharge the amount(s) due to Mastercard/Visa and/or the acquiring bank and/or foreign merchant affiliates.
 SUPPLEMENTARY CARD APPLICATION
You may apply for up to 4 Supplementary Cardholders and assign spending limits to each. The Principal cardholder and supplementary card applicants are required to submit a photocopy
of a valid government-issued ID and complete the fields marked(*). The spending limit given to the Supplementary Cardholder is part of the Principal’s credit limit. If the spending limit
indicated is greater than the approved credit limit, the spending limit to be given to the Supplementary Cardholder will be the same as the approved credit limit, up to a maximum of
Php100,000.
Note: Supplementary Cardholder must be 14 to 80 years old.
SUPPLEMENTARY CARD APPLICANT DATA
Last Name Given Name Middle Name
*APPLICANT NAME

*NAME TO APPEAR ON CARD

(MAX OF 20 CHARACTERS)
Unit/ House No. Street, Subdivision / Village / Barangay, City/Province
*HOME ADDRESS Zip Code: ________

MM DD YYYY GENDER Male Female RELATIONSHIP TO

*BIRTHDATE
*NATIONALITY Filipino Others: __________ PRINCIPAL CARDHOLDER
*PLACE OF BIRTH *MOBILE NO. *EMAIL

*SSS / GSIS / UMID *T.I.N. *MOTHER'S MAIDEN NAME

*HOME PHONE NO. *ASSIGNED SPENDING LIMIT 100% OF Principal Credit Limit Other: ________________________________

*SOURCE OF FUNDS Private Employment Government Employee Investment Self-Employed Retired others:__________

*COMPANY NAME *OCCUPATION/

*NATURE OF BUSINESS
POSITION
SUPPLEMENTARY CARD DATE
APPLICANT SIGNATURE
CARD INSTALLMENT FACILITIES
BALANCE TRANSFER YES! I would like to transfer my balance from my other credit card(s) to my Metrobank Balance Transfer Amount Php
credit card(s) at a monthly add-on rate of 1% if approved.
Credit Card Account Number Card Issuer Preferred Term & Effective Annual Interest Rate:
12 months 18 months 24 months
(21.457%) (21.643%) (21.571%)
36 months 48 months 60 months
(21.200%) (20.754%) (20.310%)

CASH2GO / QUICK CASH YES! I would like to avail of Cash2Go / Quick Cash on my Metrobank credit card at a monthly Preferred Term & Effective Annual Interest Rate:
add-on rate of 1% if approved.
Bank Name Account Number 12 months 18 months 24 months
(21.457%) (21.643%) (21.571%)
36 months 48 months 60 months
(21.200%) (20.754%) (20.310%)
Cash2Go / Quick Cash Amount Php

This application for the Installment Facility (Balance Transfer and/or Cash2Go / Quick Cash) is based on my instructions and has no implication on my relationship with any card issuer. Metrobank may approve or
reject my request at its sole discretion.

I understand that this application for the Installment Facility will be declined in the event that my approved credit limit is lower than the applied installment amount. I also understand that should my application
be denied, Metrobank has no obligation on its part to furnish the reason for such rejection.

I understand this application is non-transferable and non-revocable. I also authorize Metrobank to proceed with the Installment Facility processing up to my available credit limit even if my Metrobank credit card
has not yet been delivered. I also understand that if approved, all disbursements will be through a check deposit under my name as the cardholder. By signing below, I agree to abide by the Terms and Conditions
governing the use of the credit card and the Terms and Conditions governing the Installment Facility. I also agree to pay all interests, fees and other charges and any government tax that may be levied thereon.

SIGNATURE OF APPLICANT DATE

DEED OF ASSIGNMENT FOR SAVE&SWIPE (SECURED CARD)

Secured Credit Card (and Supplementary Cards where applicable): my/our other accounts with the Bank, and if none exists, the Bank shall issue a
Issuance cashier’s check in my/our name in the amount equivalent to the balance. I/We
Change in deposit instrument of credit card account shall claim the aforesaid cashier’s check with the Branch where said TD was
maintained.
Increase/decrease in credit limit of card number
I/We, undertake, finally to hold the Bank and its officers and employees free and
PLEDGED Amount/Account information: harmless from any and all liabilities, claims and demands of whatever kind and
nature in connection with or arising from reliance on these instructions, it being
______________________________________________________________________ understood that any and all risk and costs arising from the above instructions shall
My/Our Peso/Dollar ( ) Savings ( ) Time ( ) Special Account No. (the “Account”): be my/our sole and exclusive account.
Date Applied (Mo/Date/Yr)
________________________________________________________________________
Metrobank Depository Branch (the “Bank”): Metrobank Branch Name and Code
Joint Account Signatories (co-depositor needs to sign if Account is a Joint And/Or
________________________________________________________________________ Account):
Pledged Amount (in words):
ASSIGNOR ASSIGNOR
________________________________________________________________________ (Signature over Printed Name) (Signature over Printed Name)
Republic of the Philippines
Php (in
Makati City )
figures):__________________________________________________________________ BEFORE me a Notary Public in and for the City of Makati, this
I/We hereby authorize the Bank to hold out the Account and agree not to close it or ___________________________, Assignor/s appeared to me and exhibited
withdraw the pledged amount from my nominated Account within thirty-five (35) days his/her/their government issued identification documents:
after cancellation of the credit card. In case of default in the payment of my/our
obligation/s to Metrobank and in accordance with the terms of the Agreement granting
the use of the credit card, I/we hereby irrevocably authorize and empower the Bank to Name: Gov’t Issued ID Issued On/Date of Expiry
debit my/our pledged amount from my nominated Account and remit the amount
debited to Metrobank for the full/partial settlement of my/our aforesaid obligation/s. known to me to be the persons who signed the foregoing Deed of Assignment
I/We hereby waive any and all of my/our rights under Section 2 of the R.A. 1405 or “The and acknowledged to me that the same is his/her/their free act and deed.
Law on Secrecy of Bank Deposits”, R.A. 6426 or “The Foreign Currency Deposit Act, and WITNESS MY HAND AND SEAL on the place and date above written.
R.A. 8791 or “The General Banking Act”.
Doc. No.________________;
I/We hereby agree, further, that in case the nominated account is a Time Deposit(TD) and Page No._______________;
there is a balance on the nominated account after debit and remittance to Metrobank for Book No._______________;
the full/partial settlement of my/our aforesaid obligations, the same shall be deposited to Series of 2020. NOTARY PUBLIC