Your home or business address MUST be in METRO MANILA, RIZAL, and the following areas in LAGUNA: San Pedro, Binan, Calamba, San Pablo, Sta. Rosa, Los Banos, Cabuyao and Canlubang; in BATANGAS: Batangas City, Malvar, Sto. Tomas, Lipa, Tanauan and Tagaytay; in CAVITE: Bacoor, Cavite City, Imus, Rosario, Kawit, Dasmarinas, Gen Trias and Carmona; in BULACAN: Meycauayan and Obando; in PAMPANGA: San Fernando, Angeles City, Guagua, Mabalacat, Mexico and Dau; in ZAMBALES: Subic, Olongapo City, San Fernando, Angeles City and Castillejos; in CEBU: Cebu City, Lapu-Lapu City, Danao City, Mandaue City, Talisay, Liloan, Compostela, Minglanilla, Consolacion and Naga; and in METRO DAVAO: Davao City
MUST have contact phone number (landline) in both home and business addresses.
Applicant MUST be 21 to 70 years of age.
FOR FOREIGNERS, in addition to the required income documents, PLEASE attach a photocopy of Alien Certificate of Registration (ACR) or work permit AND Visa.
Sign and Complete the application form. Place N.A. where Not Applicable.
DOCUMENT REQUIREMENTS:
For Employed, submit ANY ONE of the following documents:
Photocopy of the latest Income Tax Return (ITR) AND W-2
Photocopy of last 2 months Credit Card Statement (of the same credit card)
Original Pay Slip for 1 month (with company's name &/or employee I.D./employee number)
Original Certificate of Employment (COE)
For self-employed, submit ANY ONE of the following documents:
Photocopy of the latest Income Tax Return (ITR) AND W-2
Photocopy of last 2 months Credit Card Statement (of the same credit card)
Photocopy of Certificate of Business Registration together with a photocopy of Audited Financial Statements
Photocopy of last 3 months Bank Statement and Original Bank Certificate
ADDITIONAL DOCUMENTS REQUIREMENTS Submit a clear and legible photocopy of any of the following
Passport
Driver's License
Firearms License/PTC
SSS / GSIS ID
NBI Clearance
BIT/T.I.N. ID
Senior Citizen's ID
IBP / PRC ID
Major Active Credit Card w/ photo
ID of Top 10,000 Companies (with photo & signature)
SCB reserves the right to request for additional income documents when processing the application.
For Gold Card Applicant: If we are unable to process your application at this time, will you accept a Classic Card? YES NO
Name: MR. MRS. MISS.
Sex: Male Female
FIRST / MIDDLE / LAST
Name to appear on card (limit to 19 spaces; initials not accepted except for middle name)
Birthdate: mm/dd/yy
No. of Dependents:
Mother's Full Maiden Name: FIRST/MIDDLE/LAST NAME
Civil Status: Single Married Widowed Seperated
Your Educational Attainment: Highschool Some College College Post Graduate
Nationality: Filipino Others
Email Address:
Home Address:
Year of Stay:
Home Tel. No.:
Home Ownership: Owned(mortgaged) Owned(not mortgaged) Rented Living with Relatives/Parents
How many cars do you own?
Taxpayer's ID No. (TIN):
Name (Relative or Friend)
Employer/Business Name
Complete Business Address
Zip Code
Bus. Tel. No.
Name (Relative or Friend)
Employer/Business Name
Complete Business Address
Zip Code
Bus. Tel. No.
Employment:
Years with present Employer:
Position/Title:
Nature of Business:
Employer/Buiness Name
Business Address:
Bus. Tel. No.
Cellphone No.
Applicants Basic Annual Income
Basic Annual Income is defined as the monthly basic salary x 13 months
Please list down all major credit cards you own and other information required below:
CREDIT CARD and CARD NUMBER
CREDIT LIMIT
MEMBER SINCE
Applicants must be at least 18 years old. Only the relationships listed below are acceptable for a supplementary application. If you want to apply for more supplementary cards, please call 830-1111 for additional forms.
Name: FIRST / MIDDLE / LAST
Name to appear on card (limit to 19 spaces; initials not accepted except for middle name)
