MY BALANCE TRANSFER

YES! I would like to transfer my balance from my other credit cards(s) to my Metrobank Card
if approved.

BALANCE TRANSFER DETAILS

Credit Card Account No.

Card Company

Total Balance Transfer Amount

Preferred Term:
6 months

9 months

12 months

18 months

24 months

This Balance Transfer application is based on my instructions and has no implication on my

relationship with any card issuer. You may approve or reject my request at your sole discretion.
I understand that, should my application be denied, MCC 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 MCC to proceed with the Balance Transfer processing up to my
available credit limit even if my Metrobank Card has not yet been delivered. 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 Balance Transfer facility. I also agree to pay all interests, fees and
other charges and any government tax that may be levied thereon.

Signature of Principal Cardholder

Date

MY CARD BALANCE PROTECTOR: CREDITPROTECT

CreditProtect is a Metrobank Card benefit that pays for the outstanding balance on your card
statement in the event of death or total and permanent disability. CreditProtect is underwritten
by AXA Philippines.
YES! I want my Metrobank Card to be covered by AXAs CreditProtect that will pay for
my credit card bills in case of death or disability. I declare that I am between 18 to 55
years old, in good health and have neither been hospitalized, treated nor received
medical advice for any illness/illnesses in the past 12 months. I agree to be bound by
all other terms and conditions of the Certificate of Coverage to be issued.
I authorize MCC to provide any relevant information about me and/or my card account
to AXA Philippines for purposes of enrolling in CreditProtect. I understand the features
and benefits of AXAs CreditProtect and that the monthly premiums will be posted on my
succeeding billing statements for as long as I have an outstanding balance.
AXA shall automatically cancel this coverage in the event of my failure to pay the
monthly premium which cannot be collected through my Metrobank Credit Card for a
period of 30 days from the premium due date. The authority is to remain in effect until I
terminate it by written notification to AXA at least 30 days in advance of the intended
date of termination.

Signature of Principal Cardholder

Date

ISSUED BY METROBANK CARD CORPORATION (A FINANCE COMPANY)

To view the Terms and Conditions of Metrobank Card, visit www.metrobankcard.com.

For inquiries, call Metrobank Cards 24-hour Customer Service
at 8-700-700 or 1-800-1-888-5775 (Domestic Toll-Free).
To apply, fill out this application form and fax to 858-8890 or 858-8891.
PRINTING DATE JUNE 2012

TABLE OF FEES AND RATES

Annual Fee
Principal / Supplementary

Php 1,500 / Php 900

Waived on 1st Year

Monthly Interest Rate

(Cash Advance)

3.75%

Monthly Interest Rate

(Non-Cash Advance)

3.50%

Late Payment Fee

Php600 or 7.5% of minimum

amount due, whichever is higher

Cash Advance Fee

3% of cash amount availed

or a flat fee of Php 500,
whichever is higher

Over Limit Fee

Php 500 per occurence

Card Replacement Fee

Php 400 per replacement

Installment
Pre-termination Fee

3% of the remaining
principal balance or Php 500,
whichever is higher

Account
Maintenance Fee

Php 200 or an amount equivalent

to the credit balance, whichever
is lower (for closed accounts)

Third Currency
Conversion Rate

All charges, advances or

amounts in currencies other
than Philippine Peso (PHP)
shall be converted to PHP
based on VISAs currency
conversion rate at the time of
posting and charged VISAs
assessment fee plus 2.50%
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 VISA and / or
the acquiring bank and / or
foreign merchant affiliates.

APPLICATION REQUIREMENTS
PROOF OF IDENTIFICATION

Photocopy of any of the following valid IDs*

Passport
PhilHealth Card
Company ID
Drivers License
Senior Citizens Card Police Clearance
NBI Clearance
SSS ID
Postal ID
Voters ID
GSIS ID
PRC ID
All other valid IDs issued by the Philippine government and its
instrumentalities
* Per BSP Circular No. 608

PROOF OF INCOME/DOCUMENTATION
For Employed Card Applicants

Copy of latest Income Tax Return (ITR) duly stamped as

received by the BIR or its authorized agent (BSP Circular No.
622 as amended) and/or the employees copy of BIR Form
2316 duly signed by the employer (Minimum Gross Basic
Annual Income of Php 180,000).
As per BSP Circular No. 622, in the absence of an ITR/W2,
the last 3 months payslip from date of application may be
used.
In addition to the above documents, you may also submit a
copy of the following as these documents may hasten the
processing of your application:

Certificate of Employment (Only for Top 1,000 Corporations

must contain name, position, date of employment and
Minimum Gross Annual Income of Php 180,000 or latest
payslip (3 months)
Billing Statement of Other Credit Card/s with at least one (1)
year as principal cardholder (or complete the appropriate
field in the application form)

For Self-employed Card Applicants

Copy of latest Audited Financial Statement (in the last 1
year with at least Php 180,000 Annual Taxable Income)
with bank or BIR Stamp as required by BSP
Copy of SEC or DTI business registration

For Foreigners

Copy of Visa
Copy of Alien Certificate of Registration (ACR) and
Immigrants Certificate of Residence (ICR).

Note: All documents submitted to MCC shall become MCCs property and
will not be returned regardless of the outcome of the application.

ALL FIELDS ARE MANDATORY AND MUST BE FILLED UP.

MY CHOICE OF A METROBANK FEMME VISA

Femme Visa

Femme-ICANSERVE Visa

Save&Swipe (Secured Card) Application?

YES

NO
Credit Limit

MY OTHER METROBANK CREDIT CARD(S)

Member Since

MY JOB

DECLARATION

SOURCE OF FUNDS

I/We hold myself/ourselves liable for all obligations and liabilities incurred with the use of the Metrobank 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
ourselves to the following declarations: (1) I/We certify that the foregoing facts are true and correct; (2) I/We authorize
METROBANK CARD CORPORATION (A FINANCE COMPANY) [MCC] to receive and exchange any and all
information concerning myself/ourselves with other financial institutions, entities tasked to provide consumer credit
reporting or reference schemes, the appropriate government agencies and third parties with whom MCC may
reasonably share such information; (3) I/We authorize MCC to acquire any information from Metropolitan Bank & Trust
Company (Metrobank) and Philippine Savings Bank (PSBank) to facilitate the approval of my credit card application as
well as all 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 MCC; (4) I/we authorize MCC, its
authorized representative/s and/or agent/s to verify and investigate these facts from whatever source it deems
appropriate; (5) I/We understand that should my/our application be denied, MCC has no obligation on its part to furnish
the reason for such rejection; (6) I/We agree that by calling MCC or any of its service providers, MCC or its service
providers may, at its sole option and discretion, tape or record all my/our telephone communications. I/We likewise
agree that such taped or recorded communications or transactions may be used by MCC or its service provider against
me/us or any third party, or replayed or communicated to any third party, for any purpose, including as evidence in any
proceeding; and (7) I/We agree to the TERMS AND CONDITIONS governing the issuance of a Metrobank Card.

Employment

Self-employment/Business

Retired (Pension, etc.)

Investments (Property, Deposits, etc.)

Unemployed

Others, please specify________

COMPANY NAME
OCCUPATION/POSITION
NATURE OF WORK/BUSINESS
BUSINESS ADDRESS

Note: Existing Metrobank Credit Card must be over 12 months to qualify for another card.

OFFICE TEL. NO.

MY OTHER CREDIT CARD(S)

Must be a principal credit cardholder for at least one (1) year. Credit card must be issued in
the Philippines with Credit Limit of at least Php 10,000.
Card Company

Card No.

This further serves as a waiver of confidentiality of all personal information that I/we have provided and authorizes MCC
to conduct random verification with the BIR in order to establish the authenticity of my ITR and the accompanying
financial statements I submitted.

Member Since

Credit Limit

MY FINANCIAL STANDING
NAME: Family

Given

Date of Birth

Middle

CIVIL STATUS

NATIONALITY/CITIZENSHIP

GENDER

Supplementary Cardholder must be 14 to 80 years old. 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 Principals 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.
*

DATE

SIGNATURE OF SUPPLEMENTARY CARDHOLDER

DATE

NO. OF CHILDREN:

HOME PHONE NO.

NAME TO APPEAR ON CARD

Referrors Card Number:

HOME ADDRESS

YES

NO

PERMANENT ADDRESS (If different from Home Address)

(For foreigners, attach ACR & ICR)

(Php ___________________)

PLEDGED Amount/Account information:

My/Our Peso/Dollar ( ) Savings ( ) Time ( ) Special Account No. (the Account):

At least 6 months, ADB of > Php10,000

Metrobank Depository Branch (the Bank):

Pledged Amount (in words):

PLACE OF BIRTH

Php (in figures):

Branch Remarks:

GENDER

Certification (Third-Party Reliance)

* HOME PHONE NO.

ASSIGNED MONTHLY SPENDING LIMIT

100% of Principals Credit Limit

SSS NO.*

Others:Php_____________

GSIS NO.*

Model/Year:

This certifies that the above identified prospective customer is an existing customer of MBTC 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 of the BSP and AMLC and the
MLPP of MBTC.
This further certifies that copies of identification documents are in the custody of MBTC and may be provided
upon request by MCC or the relevant regulatory agency(ies). Access to the identification documents shall be
subject to retention limitations specified under the relevant laws and regulations.

MY DELIVERY/PAYMENT INSTRUCTIONS
DELIVER CARD & STATEMENT TO:

Office

Home

I want to receive my Statement of Account via e-mail.

SSS NO.

PREFERRED PAYMENT MODE:

GSIS NO.

I will pay in cash or check at a Metrobank/PSBank branch

Automatic Debit Arrangement (ADA):
Please debit my Peso current/savings account no.:
at Metrobank __________________________________________ Branch

OTHER IDENTIFICATION CARDS

DRIVERS LICENSE NUMBER

PRC ID

PASSPORT NUMBER

OTHERS

PERSONAL REFERENCE
NAME

Minimum amount due

Total amount due

(Please specify type of ID and ID number)

MY INTERNET TRANSACTION SECURITY

RELATIONSHIP

ADDRESS
TEL. NO.

Note:
The card type is dependent on the pledged amount.
The minimum required pledge amount is Php12,000.
Your credit limit can be as much as 90% of your pledged Peso Deposit Account or 80% of your pledged
Foreign Currency Deposit Account.

Increase/decrease in credit limit of card number

Depositor Since:

At least 4 months, ADB of > Php30,000 or $500

Number of Cars:

Applicants availing of the Save&Swipe Program are required to accomplish the Deed of
Assignment for Secured Cards portion and mandatory fields in the application form, and
to inquire with their maintaining branch for other requirements to effect the pledge/
hold-out on their deposit.

Change in deposit instrument of credit card account

(Php ___________________)

NATIONALITY/CITIZENSHIP

RELATION TO PRINCIPAL APPLICANT

CAR OWNERSHIP:

IF YOU ARE UNABLE TO PROVIDE THE REQUIRED

PROOF OF INCOME/DOCUMENTATION, WILL YOU BE
WILLING TO PLEDGE AN AMOUNT FOR A SECURED
METROBANK CREDIT CARD?

Issuance

Applicant Details

(Php ___________________)

* MOBILE PHONE NO.

If Yes, please provide your Account Number

Branch opened

Secured Credit Card (and Supplementary Cards where applicable):

Branch Code:

Branch Name:

At least 3 months latest net payroll credit per month of > Php8,600/month (indicate credits per month)

* BIRTHDATE

ARE YOU A METROBANK DEPOSITOR?

DEED OF ASSIGNMENT FOR SAVE&SWIPE (SECURED CARD)

Referrors Name:

Metrobank/PSBank Client:

Place of birth
MOBILE PHONE NO.

SIGNATURE OF PRINCIPAL CARDHOLDER

Use your Metrobank Deposit to enjoy the perks of a Metrobank Credit Card.

FOR METROBANK BRANCH USE ONLY

MY SUPPLEMENTARY

NAME TO APPEAR ON CARD

BIRTHDATE

GROSS MONTHLY INCOME

MY SPOUSE

MY PERSONAL DATA

SAVE&SWIPE (Secured Credit Card Program)

Secure Online Shopping (SOS) is a FREE Metrobank Card feature that authenticates your internet transactions with
participating merchants.
I want to enroll my Metrobank Card in SOS to ensure the security and protection of my internet transactions. This
signifies that my supplementary card (if any) will also be enrolled. Please send my SOS PIN through the
declared mobile number/s.

I/We hereby authorize the Bank to hold out the Account and agree not to close it or withdraw the
pledged amount from my nominated Account within thirty-five (35) days after cancellation of the
Credit Card. In case of default in the payment of my/our obligation/s to MCC 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 debit my/our pledged amount from my nominated Account and remit the
amount debited to MCC for the full/partial settlement of my/our aforesaid obligation/s. I/We hereby
waive any and all of my/our rights under Section 2 of the Rep. Act 1405, which prohibits disclosure
or inquiry of deposits, in order to give effect to this Assignment.
Date Applied (Mo/Date/Yr)
Metrobank Branch Name and Code

BRANCH OFFICERS SIGNATURE OVER PRINTED NAME

DATE

DEED OF ASSIGNMENT FOR SAVE&SWIPE ACCOMPLISHED

Joint Account Signatories (co-depositor needs to sign if Account is a Joint And/Or Account):

All the information indicated in this application form has been verified and noted by the Branch Officer.

THE CONTRACTS IN THIS APPLICATION FORM ARE BETWEEN THE

CARDHOLDER/CARD APPLICANT AND METROBANK CARD CORPORATION
(A FINANCE COMPANY) [MCC], A SUBSIDIARY OF METROBANK. ALL
TRANSACTIONS ARISING OUT OF OR RELATED TO THESE CONTRACTS
SHALL BE BINDING ONLY BETWEEN THESE TWO CONTRACTING PARTIES. IT
IS UNDERSTOOD THAT THE TRANSACTION IS NEITHER INSURED BY THE
PHILIPPINE DEPOSIT INSURANCE CORPORATION NOR GUARANTEED BY
METROBANK.

ASSIGNOR
(Signature over Printed Name)

ASSIGNOR
(Signature over Printed Name)

THE METROBANK CREDIT CARDS AND THE PRODUCT FEATURES OF

METROBANK CARD CORPORATION (A FINANCE COMPANY) ARE NOT
INSURED BY THE PHILIPPINE DEPOSIT INSURANCE CORPORATION
(PDIC) AND ARE NOT GUARANTEED BY THE METROPOLITAN BANK &
TRUST COMPANY (METROBANK).