9009 P-2023/09

Page 1 of 6

Credit Card Application

CIBC Credit Card Summary of Annual Interest Rates and Fees

Annual Cash Advances,
Interest Card Product Purchases Balance Transfers and
Rates Convenience Cheques
All CIBC Personal Credit Cards
Product
Card
(except CIBC Select Visa, CIBC Costco 22.99%
20.99%

Cheques
Convenience
and
Transfers
Balance
Advances,
Cash
Mastercard and CIBC Costco World (21.99% for Quebec residents)

Purchases
Mastercard)
These interest rates are in effect on the date your Credit Card Account is opened.
If you do not make your Required Payment by the payment due date 2 times in any 12 month period, your interest
rate may increase to 24.99% on Purchases and 27.99% on Cash Advances, Balance Transfers and Convenience
Cheques (19.99% for Purchases, Cash Advances, Balance Transfers and Convenience Cheques for CIBC Select
Visa) for at least 12 months. This increase will take effect in the third statement period following the missed
payment that caused the rate to increase. These increases do not apply to Visa Infinite Privilege*.
Effective December 1, 2023: If you do not make your Required Payment by the payment due date 2 times in
any 12 month period, your interest rate may increase to 25.99% on Purchases and 27.99% on Cash Advances,
Balance Transfers and Convenience Cheques for at least 12 months. This increase will take effect in the third
statement period following the missed payment that caused the rate to increase. These increases do not apply to
Visa Infinite Privilege*.
For all clients other than Quebec residents, your Required Payment means:
a) any interest (excluding Installment Plan interest); plus
b) fees (excluding the annual fee); plus
c) any past due amount; plus
d) the lesser of either $10, or your Amount Due minus a) to c).
For Quebec residents, Required Payment means any past due amount plus the greater of your Percent of Amount
Due (defined below) or $10.
For all clients including Quebec residents, if your Balance excluding Installment Plans is under $10, that lesser
amount is your Required Payment.
Interest- Your payment due date is at least 21 days after your Statement Date. We do not charge interest on a Purchase
Free Grace (other than Purchases on an Installment Plan) appearing on your statement if we receive full payment of the Amount
Period Due (or for Purchases that have been converted to an Installment Plan during that statement period, if we receive
payment in full of the Balance) by the payment due date for that statement. There is no interest-free period for Cash
Advances, Balance Transfers, or Convenience Cheques.

Minimum For all clients other than Quebec residents, your Minimum Payment is:
Payment a) any interest (excluding Installment Plan interest); plus
b) fees (excluding the annual fee); plus
c) all Installment Plan payments due (which includes interest) on that statement; plus
d) the greater of either any amount that exceeds your credit limit or any past due amount; plus
e) the lesser of either $10, or your Amount Due minus a) to d).
For Quebec residents, your Minimum Payment is:
a) the greater of your Percent of Amount Due (defined below) or $10; but if the Amount Due (excluding
Installment Plan payments due) is less than $10 then that lesser amount; plus
b) Installment Plan payments (including interest) which are due on that statement; plus
c) the greater of either any amount that exceeds your credit limit or any past due amount.
For Quebec residents with Accounts opened on or after August 1, 2019, your Percent of Amount Due means
5% of your Amount Due.
For all Quebec residents, the Amount Due used to calculate your Percent of Amount Due excludes Installment Plan
payments due.
For all clients including Quebec residents, if your Amount Due is under $10, that lesser amount is your Minimum
Payment.

Foreign Foreign currency Transactions (except CIBC Convenience Cheques) are converted to Canadian dollars (or to U.S.
®
Currency dollars, for the CIBC U.S. Dollar Aventura Gold Visa* Card) on or after the Transaction date and no later than the
Conversion Transaction posting date. You are charged the same conversion rate CIBC must pay, on both debits and credits. You
are charged a fee of 2.5% of the converted amount, on both debits and credits. This fee is charged on currency
conversion. A foreign currency Convenience Cheque or payment is converted at CIBC’s branch selling rate for
Canadian dollars (or, for non-U.S. dollar payments on the CIBC U.S. Dollar Aventura Gold Visa Card, at CIBC’s
branch selling rate for U.S. dollars) in effect at the time it is processed by CIBC.
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Credit Card Application

Annual CIBC Dividend Visa, CIBC Aventura Visa, CIBC Aeroplan Visa, Classic Visa, CIBC Costco Mastercard and CIBC Costco
Fees World Mastercard Credit Cards are not charged a Primary Cardholder or Authorized User annual fee.

Other Fees Overlimit fee: $29 is charged if your Balance goes over your credit limit. You will be charged this overlimit fee on
the day your Balance goes over your credit limit and, also if, on the first day of each following statement period your
Balance remains over your credit limit. You will only be charged this fee once per statement period. This fee applies
to all accounts except Visa Infinite Privilege. This fee is not applicable to Quebec residents.
Account maintenance fee: If you have an inactive Account with a credit Balance that has not changed for 360
consecutive days, you will be charged a fee of the lesser of $10 or the full credit Balance on that date.
Promotional (low rate) Convenience Cheque or Balance Transfer fee: up to 3% of the amount of the promotional
(low rate) Convenience Cheque or Balance Transfer. The exact fee will be disclosed at the time the offer is made to
you and will be charged to your Account when the Transaction is posted.
Effective December 1, 2023: Promotional (low rate) Convenience Cheque or Balance Transfer fee: up to 5% of
the amount of the promotional (low rate) Convenience Cheque or Balance Transfer. The exact fee will be disclosed
at the time the offer is made to you and will be charged to your Account when the Transaction is posted.
The following fees are posted to your Account when, or soon after, the Transaction or other activity occurs:
Installment Fee: up to 3% of the amount of each Transaction that you convert to an Installment Plan. The exact fee
will be disclosed when the Installment Plan options are presented to you, and will be charged when the Transaction
is converted to an Installment Plan. This fee is not applicable to Quebec residents.
Statement copy fee: $10 is charged for each monthly statement that is requested, for any period other than the
current monthly statement. No charge if inquiry is due to our error.
Cash Advance fee (all cards except CIBC U.S. Dollar Aventura Gold Visa Card): within Canada $5.00, outside
Canada $7.50 for each Cash Advance.**
Cash Advance fee (CIBC U.S. Dollar Aventura Gold Visa Card only): $3.50 for each Cash Advance.**
Dishonoured Convenience Cheque or Balance Transfer fee: $40 each. Applies if a Convenience Cheque or Balance
Transfer is not accepted due to insufficient Available Cash or Available Credit.
Dishonoured payment to CIBC fee: $42.50 each. Applies if a payment on your Account made by cheque or
preauthorized debit from any financial institution, including CIBC, is not accepted for any reason.
All fees on the CIBC U.S. Dollar Aventura Gold Visa Card are charged in U.S. dollars.
**These fees are in addition to any other charges that may be levied by the owner/operator of the ATM.
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Credit Card Application

Branch Transit and Location Date (mmm/dd/yyyy)

02352
SEP 28, 2023
OTTAWA & RIVER BANKING CENTRE

Section 1 – Client Information

Title Last Name First Name Middle Initial

BINNY ABIN
Home Address (number and street name) City Province/Territory Postal Code
1521-239 ALBERT ST
WATERLOO ON N2L 0K5

Home Address Since Home Telephone No. S.I.N. (optional) Date of Birth (mmm/dd/yyyy)

AUG 20, 2020 966 304 255 MAR 29, 2004

Legal Business Name Business Telephone No.

Business Address (number and street name) City Province/Territory Postal Code

Primary Cardholder Name on Card

ABIN BINNY
Authorized User Name Authorized User Name on Card Date of Birth (mmm/dd/yyyy) Telephone No.

Product Requested
®
CIBC Dividend Visa* Card for Students

Section 2 – Request for Balance Transfer (subject to the Terms for Balance Transfers section)
Amount to Transfer to My CIBC Credit Card
1. Credit Card Issuer Credit Card No. Account

$
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Credit Card Application

Section 3 – Additional Credit Card Options (see terms below)

Optional eStatement and Notifications
You consent to receive electronic versions of your monthly account statements (“eStatements”), as well as other important documents related to your account. Other
account documents could include: notices of changes to your interest rate, account fees or account charges, or any other documents we’re required by law to provide in
®
writing. You’ll get these documents electronically through CIBC Online Banking , which can be accessed from www.cibc.com.
To access your CIBC eStatements and other important documents related to your account, you’ll need to register for CIBC Online Banking and sign on to your account.
eStatements are available in CIBC Online Banking for 7 years. Other account documents, such as notices of change to your interest rate, account fees or account
charges, or any other document we’re required by law to provide you are available in My Messages for 13 months. You’re responsible for retaining a copy of all your
electronic documents.
You can cancel this consent and choose to get paper copies of your statements and other account documents at any time through CIBC Online Banking or the CIBC
®
Mobile Banking App. You can also cancel this consent by visiting a CIBC Banking Centre or calling 1-800-465-4653.
I, the Applicant/Primary Cardholder, agree that I have read, understand and agree to the terms noted above.

Initial

Provided
Please Read and Sign
Privacy Disclosure for all Cardholders: In this section, “CIBC”, “we” or “us” refers to the Canadian Imperial Bank of Commerce and its Canadian affiliates. You
consent to the collection, use and sharing of your personal information as described in the “CIBC Canada Client Privacy Policy”. This includes exchanging information
about you within CIBC and with credit bureaus, program partners, and others as may be needed for: (i) identifying you; (ii) qualifying you (or someone you are providing
a guarantee for) for products and services; (iii) confirming information you give us; (iv) protecting you and CIBC from error and criminal activity; (v) confirming your
creditworthiness; (vi) fulfilling legal and regulatory responsibilities; or (vii) marketing products and services of CIBC, any CIBC partner program, or other third parties.
We may contact you for any of these purposes at the numbers and addresses you have provided to us, including by automatic dialing-announcing device. If you no
longer want to receive marketing from CIBC, you may contact CIBC at 1 800 465-CIBC (2422) at any time. You will not be refused products or services just because you
choose not to receive marketing.
The “CIBC Canada Client Privacy Policy” is available at any banking centre or www.cibc.com. This policy may be updated from time to time. We will post our most up-
to-date policy on our website.
If you provide us with your Social Insurance Number (SIN), we may share it with credit bureaus to help make sure we get the correct credit bureau report. However, this
is voluntary and you will not be refused products or services just because you choose not to provide your SIN.

Please see next page for Additional Partner Program Privacy Disclosures.
By signing here, you are agreeing to all the Privacy Disclosures and Terms and Conditions in this credit card application.

Sep 28, 2023 20:41:30 GMT ABIN BINNY X

Date (mmm/dd/yyyy) Primary Cardholder Name Primary Cardholder Signature
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Credit Card Application

Terms and Conditions

Terms for Primary Cardholder only: You are asking CIBC to open an Account in your name and issue a CIBC credit card to you and any person(s) you name as
an Authorized User. You will be solely responsible for the full Balance including for all Transactions by the Authorized User(s). You agree to be bound by the CIBC
Cardholder Agreement we will send you, as amended or replaced from time to time. You will indicate your acceptance of the CIBC Cardholder Agreement by signing,
using, or activating a card, accessing your Account in any way or making a payment on your Account. You also agree to be bound by the Cardholder Banking Service
Agreement, as amended or replaced from time to time. It applies if you register a CIBC deposit or other account for access through your CIBC credit card. You authorize
us to charge the non-refundable annual fees (if applicable) to your Account. You acknowledge that Card features/services may change from time to time.
You must tell us immediately if your Card or Card Details are lost or stolen or your Account is compromised. If you report that your Card, account information, including
Card Details, or PIN has been lost or stolen or is otherwise at risk of being used in an unauthorized manner, you will not be liable for any unauthorized Transactions
following the receipt of that report. If the Card, account information, including Card Details, or PIN is used in an unauthorized manner, the maximum liability you will
incur is $50, unless a Cardholder has demonstrated gross negligence or, in Quebec, gross fault in safeguarding their Card, account information, such as Card Details, or
PIN. Please see your CIBC Cardholder Agreement for more information.
If the Primary Cardholder has provided the necessary contact information to CIBC (email address, Canadian mobile number or Online Banking Message Centre), and
haven’t opted out, CIBC will send the Primary Cardholder an electronic alert when the Available Credit on the Account falls below an amount set by the Primary
Cardholder, or $100 in the absence of a set amount. The Primary Cardholder may opt out of these alerts by following the instructions in the alert message or otherwise
provided by CIBC. The Primary Cardholder may also opt out or change alert preferences through CIBC Online Banking or CIBC Mobile Banking or by contacting
Telephone Banking. Due to their nature, alerts may be intercepted, reviewed or altered by others with access to the Primary Cardholder’s account or device(s). CIBC will
not be liable for any losses arising out of the Primary Cardholder’s use or inability to use the alerts, or if alerts are not delivered or delayed due to factors beyond CIBC’s
reasonable control except as may be required by applicable law.
If we advised you that a CIBC credit card is preapproved, you understand that we may withdraw this offer if any unfavourable change in your financial position or
account status has occurred recently or occurs after you sign this form.

Disclosures
CIBC Dividend Visa Infinite Card, CIBC Dividend Platinum Visa Card and CIBC Dividend Visa Card: If you cannot be approved for the CIBC Dividend Visa Infinite
Card you are asking CIBC to consider you for a CIBC Dividend Platinum Visa Card instead. You understand that the CIBC Dividend Visa Infinite Card and the CIBC
Dividend Platinum Visa Card have the same interest rates, but the CIBC Dividend Platinum Visa Card:
● has an annual fee of $99;
● earns cash back at a rate of up to 3% in net annual Card purchases;
● does not include Out-of-Province Emergency Travel Medical Insurance and Mobile Device Insurance.
If you cannot be approved for the CIBC Dividend Platinum Visa Card you are asking CIBC to consider you for a CIBC Dividend Visa Card instead. You understand that
the CIBC Dividend Visa Card and the CIBC Dividend Platinum Visa Card have the same interest rates, but the CIBC Dividend Visa Card:
● has no annual fees;
● earns cash back at a rate of up to 2% in net annual Card purchases; and
● includes only $100,000 Common Carrier Accident Insurance and does not include Auto Rental Collision/Loss Damage Insurance.
You acknowledge and agree that pursuant to the above if you apply for and cannot be approved for a CIBC Dividend Platinum Visa Card, you are asking CIBC to
consider you for a CIBC Dividend Visa Card. The differences between these cards are set out above.

Insurance Included as a Feature of your Credit Card – Disclosure

Insurance coverage(s) included with CIBC credit cards are underwritten by Royal & Sun Alliance Insurance Company of Canada (RSA). You may contact RSA at
1 866 363-3338 in Canada and the U.S or collect from elsewhere at 905 403-3338 or visit cibccentre.rsagroup.ca. Different cards will have different coverage(s).
To learn about which coverage(s) are included with a specific card, and important information regarding coverage eligibility requirements, benefits, limitations and
exclusions, see www.cibc.com/en/personal-banking/credit-cards/manage/agreements-and-insurance.html and the insurance certificate(s) in your card package. Some
insurance coverage(s) require purchase(s), auto rentals, common carrier fares, accommodations and other trip costs to be charged to the card to activate coverage.
Other conditions may also apply. Car Rental Collision/Loss Damage Insurance (CLDI) is available for a rental period of up to 48 days for rental cars with a MSRP of up to
$65,000 CAD. For the CIBC Aeroplan Visa Infinite Privilege Card and the CIBC Aventura Visa Infinite Privilege Card, CLDI is available for a rental period of up to 48 days
for rental cars with a MSRP of up to $85,000 CAD. The full cost of the rental must be charged to the card and the rental agency’s Collision Damage Waiver (CDW) or
Loss Damage Waiver (LDW) must be declined. CLDI provides coverage up to the actual cash value (ACV) of the rental vehicle as defined in your insurance certificate.
Note that some rental agencies may assess their damages at an amount greater than the ACV of the rental vehicle and you may be liable to them for the difference.
Before declining the rental agency's CDW or LDW, you should read carefully and compare the terms of the rental agreement, the CLDI insurance certificate in your
card package and any other insurance you own to decide which coverage best meets your protection needs. Out-of-Province Emergency Travel Medical Insurance
(TMI) covers the primary cardholder, their spouse and dependent children for the first 15 days of a trip if the insured person is age 64 or under (for all cards that have
TMI coverage, dependent children must be under 21 years of age or under 25 years of age if a full-time student, unless they have a permanent physical or mental
impairment); for the CIBC Dividend Visa Infinite Card TMI covers the first 10 days of a trip for the above; for the CIBC Aventura Visa Infinite Card and the CIBC Aeroplan
Visa Infinite Card; TMI also covers the first 3 days of a trip if the insured person is age 65 or older; for the CIBC Aeroplan Visa Infinite Privilege Card and the CIBC
Aventura Visa Infinite Privilege Card, TMI covers the primary cardholder, their spouse and dependent children for the first 31 days of a trip if the insured person is age 64
or under, or for the first 10 days of a trip if the insured person is age 65 or older; TMI may not cover medical procedures performed without pre-approval. TMI, Trip
Cancellation and Trip Interruption Insurance may not cover certain pre-existing health and medical conditions. Certain RSA coverages are “excess insurance” (all other
sources of insurance and recovery must be exhausted before coverage is available).

Additional Disclosures for Personal Credit Cards Only

More Information about Interest and the Grace Period: When interest is charged on a new Purchase, it is charged from its Transaction date. We begin charging
interest for Cash Advances on the day they are taken. If you decide to convert your Transaction into an Installment Plan, interest will be charged in accordance with
the Installment Plan terms and conditions. We begin charging interest for Balance Transfers and Convenience Cheques on the day they are posted. If we do not receive
a payment for your full Amount Due on a statement, we may make your payment due date later on the next statement. This will give you extra time to make your
payment, but we will continue to charge you interest during this extended period. When you pay your full Amount Due, we will change your payment due date back to
its regular date.
Merchant’s Fees: Merchants may be charged higher fees for the acceptance of premium cards (Visa Infinite, Visa Infinite
Privilege and World Mastercard).
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Credit Card Application

Credit Card Offer Acknowledgement

General Conditions for all Offers
● This offer only applies to eligible cards and to the primary cardholder only.
● This offer is not transferable and cannot be combined with any other offer. This offer does not apply to transfers from another credit card account.
● If your application for an eligible card is not approved, you may be considered for another card (as disclosed in your credit card application). If that other card is not
an eligible card, this offer will not apply.
● This offer may be withdrawn or changed without notice at any time. CIBC may, in its sole discretion, revoke this offer if you are believed to be manipulating or
abusing it, or engaging in any suspicious or fraudulent activity.
● Your new credit card account must be open and in good standing at the time the rebate, additional welcome bonus offer or other offer is awarded. If you believe
you have met all the conditions but don’t see the rebate or additional welcome bonus on your statement, please contact us at 1 800 465-4653.

General Conditions for all Fee Rebate Offers

● If you qualify and are approved for an eligible credit card, CIBC will rebate the annual fee for the primary cardholder and the authorized users (to the maximum
number noted above in the offer details) added at the time of application.
● This offer does not apply to annual fees for authorized users that you add after you submit your application.
● If you qualify, the rebate will appear as a credit against the applicable annual fee(s) within the first 2 monthly statements.

General Conditions for all Additional Offers

● You will receive the additional bonus (in the amount noted above in offer details) if you have at least the minimum required amount (noted above in offer details)
in net purchases, which will be awarded to you within 8 weeks after the qualifying purchase(s) are posted to your account.
● Purchases do not include cash advances, interest, fees, balance transfers, payments, CIBC Convenience Cheques or Aventura Points/Aeroplan points redemptions.
Interpretation: Capitalized terms used in this application have the meanings given to them in the CIBC Cardholder Agreement unless otherwise defined. The CIBC
TM
Credit Card Summary of Annual Interest Rates and Fees does not apply to Simplii Financial credit cards.
Quebec only: You have expressly requested that this form and any related documents be drawn up in English.
Vous avez expressément exigé que le présent formulaire et tout document qui s’y rattache, soient rédigés en anglais.
The above is just a summary. For full details about your rights and obligations see the CIBC Cardholder Agreement. For more information about Cards, please call
1 800 465-4653 toll-free. The CIBC Cardholder Agreement and other information may also be obtained from www.cibc.com. The Card interest rates and fees shown
are current as of September 1, 2023.
* Trademark of Visa International, used under license.
All other trademarks are owned by CIBC or related entities.
†
Official mark and/or trademark of Her Majesty the Queen in Right of Canada, used under license.
TM
"SIMPLII FINANCIAL", the SIMPLII FINANCIAL DESIGNS are trademarks of CIBC. "Simplii Financial" is a division of CIBC.
Banking services are not available in Quebec.