RCBC Bankard JCB Card Application Form
  • Basic Application Requirements & Reminders
  • Documents Required
  • Terms & Conditions

    All grey fields are required.
    • PLEASE TELL US ABOUT YOURSELF
    Name of Applicant
    Last First Middle(in full)
    Name to appear on the card (limited to 20 characters only, including spaces)
    BIRTHDATE SEX CIVIL STATUS NATIONALITY
     Male
     Female    		  Single
     Separated
     Married
     Widowed
    PLACE OF BIRTH
    		 HOME PHONE NO.
    CELL PHONE NO.
    MOTHER'S FULL MAIDEN NAME
    Last
    		 First
    		 Middle (in full)
    PRESENT HOME ADDRESS(all fields must be filled-up properly)
    (No. Street Subdivision, City)
    Zip Code:
    HOME OWNERSHIP  Years  Month of stay
     Owned (not mortgaged)  Owned (mortgaged)  Living with Parents/Relatives  Rented
    DO YOU OWN A CAR?  No  Yes How Many?       Not Mortgaged       Mortgaged
    No. of Dependents
    		 TAX IDENTIFICATION NO. (TIN)
    		 SSS NO./GSIS NO.
    EMAIL ADDRESS
    EDUCATIONAL ATTAINMENT  High School  Some College  College  Post-Graduate 
    PERMANENT ADDRESS
    YOUR FINANCIAL STATUS
    EMPLOYMENT  Private Sector  Self-Employed  Government  Retired/Unemployed
    COMPANY NAME
    COMPANY ADDRESS (all fields must filled-up properly)
    (Dept.,Floor,Bldg.,No.,Street,Subd,City)
    Zip Code
     Years  Months of stay (with PRESENT Company/Business)
    OFFICE PHONE NO.
    		FAX NO.
    NATURE OF BUSINESS
    		OCCUPATION / POSITION
    TOTAL GROSS ANNUAL INCOME / SOURCE OF FUND P  per annum
    YOUR SPOUSE
    COMPLETE NAME
    Last
    		 First
    		 Middle (in full)
    BIRTHDATE
    		  Employed  Self-Employed  Others 
    TELEPHONE NO.
    		CELL PHONE NO.
    COMPANY NAME
    COMPANY ADDRESS
    EMAIL ADDRESS
    		OCCUPATION / POSITION
    TOTAL GROSS ANNUAL INCOME / SOURCE OF FUND P  per annum
    PREFERRED BILLING ADDRESS (your Monthly Statements will be delivered here)
     HOME            OFFICE
    CARD DETAILS
    Issuer Card Number Credit Limit Issue Date
    RCBC Bankard Credit Cards
    Other Credit Cards
    SUPPLEMENTARY CARD / S
    1. COMPLETE NAME
    Last
    		 First
    		 Middle (in full)
    BIRTHDATE SEX Relationship to Prinicipal
     Male
     Female
    TELEPHONE NO.
    		 CELL PHONE NO.
    EMPLOYMENT  Private Sector  Self-Employed  Government  Retired/Unemployed
    COMPANY NAME
    COMPANY ADDRESS
    EMAIL ADDRESS
    		OCCUPATION / POSITION
    2. COMPLETE NAME
    Last
    		 First
    		 Middle (in full)
    BIRTHDATE SEX Relationship to Prinicipal
     Male
     Female
    TELEPHONE NO.
    		 CELL PHONE NO.
    EMPLOYMENT  Private Sector  Self-Employed  Government  Retired/Unemployed
    COMPANY NAME
    COMPANY ADDRESS
    EMAIL ADDRESS
    		OCCUPATION / POSITION
    SUPPORTING DOCUMENTS (for applications with no existing credit cards only)
    Note: Only *.jpg and *gif formats are accepted, max 500KB/file
    Please attach necessary documents to speed up your application process.
    Valid Identification
    Proof of Income
    All information given in this application is true, correct and complete. By signing below, I/We authorize Bankard, Inc. to make any credit investigation to evaluate or verify all information, including financial standing or employment. I/We understand that falsification and/or giving false information in this application, and/or supporting documents submitted, shall be grounds for the rejection of my/our application, immediate termination of my/ our credit card privileges, once approved, and/or legal action against me/us. Bankard, Inc. shall have no obligation to provide the reason for rejection of the application. By signing at the back of the card/s, and/or using the card/s, I/we accept the terms and conditions of membership, including any amendments thereto.

    I hereby confirm that I have read and understood the following (Pls. check each box to indicate consent):

    Basic Application Requirements & Reminders
    Documents Required
    Terms & Conditions
    IF RCBC Bankard deems me qualified for another card, they can send it to me.