Sagicor Bank Credit Card Application Form

Sagicor Bank Credit Card Application Form

General Information
Dear Valued Client,

To facilitate a seamless application process, please have the following supporting documents digitally scanned (where applicable) and ready to upload on this application. You will be unable to submit your application unless these documents and information required are attached:

Please ensure that you have your supporting documents ready to be uploaded before continuing.

·        Proof of Address (for the address provided on the application form)

·        ID (Driver’s License, Passport, National ID / Voter’s ID)

·        TRN (only required if ID given is not a Driver’s License)

·        Last Three (3) Months’ Payslips (If self-employed, kindly provide business registration certificate and most recent bank statement (12 months)

Please submit any one (1) of the following as your Proof of Address:

·        Utility Bill (no more than 3 months old, mobile/cellphone bills not accepted)

·        Voter's Card

·        Lease or Rental Agreement

·        Cable Bill Receipt (no more than 3 months old)

·        Internet Bill (no more than 3 months old)

·        Current Statement from Financial Institution (no more than 3 Months old) e.g. Insurance Company,

·        Banks, Building Societies, NHT, Credit Unions, etc.

·        Adult children still living at home – Parents’ utility bill and letter from parent

·        Spouse with utility bill in other spouse's name - utility bill with Marriage Certificate

·        Common Law – Spouse’s utility bill and letter from spouse

·        Renting – Landlord’s utility bill supported by rental agreement

·        College Admission letter when in dorms

·        Accommodation provided by an employer - employer’s written confirmation of the address. Letter must be verified with employer.

·        Letter from Justice of the Peace or Declaration on Reference form confirming client’s address

If you are employed in your current role for less than one (1) year, please submit a job letter containing following details:
- Address the job letter to Sagicor Bank Jamaica Limited
- Name of employee
- Position/Capacity
- Employer’s details (name, email, telephone number)

B. Current Employer/Business Name
Current Employment Status*
End date for Current Contract

DayMonthYear
Date Format (DD/MM/YYYY)
Were you previously employed?*
Salaried Persons: Last three (3) Pay slips

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Commissioned Persons: Last three (3) Pay slips

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Self-Employed Persons: Last six (6) months Bank Statement and/or Audited Financial Statements

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Current Job Title*
Current Employer*
Current Employer Telephone Number
Current Employer Address

Street Address

Street Address Line 2

ParishState / Province

Postal Code
Time with Employer (Please indicate if time is either months or years)*
Previous Job Title
Previous Employment Status
Previous Employer Telephone Number
Previous Employer
Previous Employer Address

Street Address

Street Address Line 2

ParishState / Province

Postal Code
Previous Employer/Business Name
Previous Time with Employer

YearsMonths

	$ Value
Property
Motor Vehicle
Investments
Life Insurance
Bank Deposits
Other Assets

D. Additional Cardholder/Joint Co-Applicant

Copy of TRN/ID Required
Jointholder Type

SupplementalCo-Applicant
Title
First Name
Last Name
DOB

DayMonthYear
Date
TRN
ID Number
ID Type
For Joint/Co-Applicant, please complete below:
No. of Dependents
Marital Status
Address

Street Address

Street Address Line 2

ParishState / Province

Postal Code
Time at Current Address

YearsMonths
Place of Employment
Job Title
Employer Address

Street Address

Street Address Line 2

ParishState / Province

Postal Code
Telephone Number (Home)
Telephone Number (Work)
Telephone Number (Mobile)
Telephone Number (Additional Mobile)
Email Address
Annual Salary
Tenure of Employment
Employment Status

E. Next of Kin Information
Title*
First Name*
Middle*
Last Name*
Address*

Street Address

Street Address Line 2

ParishState / Province

Postal Code
Telephone Number (Home)
Telephone Number (Work)
Telephone Number (Mobile)*
Telephone Number (Additional Mobile)
Relationship*
Email Address*

F. Nearest Relative Contact Information
Title*
First Name*
Middle*
Last Name*
Address*

Street Address

Street Address Line 2

ParishState / Province

Postal Code
Telephone Number (Home)
Telephone Number (Work)
Telephone Number (Mobile)*
Telephone Number (Additional Mobile)
Relationship*
Email Address*

G. Supporting Documents

*Mandatory
Upload your ID here*

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Upload your TRN here if the ID submitted was not a Driver's License

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Upload your Proof of Address here*

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Upload your Last Three (3) Month's Payslips here (You can multi-select files to upload)*

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Upload your most recent Payslip here*

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*Other documents may be requested as needed.
Which branch would you like to collect your card at?*

Online Banking

*Mandatory
An online banking user profile will be created if you do not already have one. Please sign the below Online Banking Declaration to allow us to open a new profile, or add your card to an existing profile.
Do you already have Online e-banking access with Sagicor Bank Jamaica?*

YesNo
Please provide Sagicor e-Banking Username*
Do you have an Online Banking Profile?*

YesNo
Online Banking Declaration:*

I/We hereby authorise the Bank to use the informationprovided herein in creation of an Online Banking Account with the Bank’s OnlineBanking Service, “SAGICOR ONLINE” or such other application and I/We agree tobe bound by the terms and conditions published by Sagicor and which areapplicable to its online banking products and services.
How did you hear about Sagicor Bank?*
Cardholder Signature*

Clear
Date

MonthDayYear
Date
Additional Cardholder/Joint Co-Applicant Signature (if applicable)

Clear
Date

MonthDayYear
Date
By clicking submit to any personal information contained within this form, you are accepting the Sagicor Group Jamaica (SGJ) Privacy Notice as found here: Privacy Policy, which indicates how SGJ processes personal data.
Should be Empty:

	Monthly Payments	Balance Outstanding	Lender
Mortgage/Rent
Credit Card
Personal Loan
Personal Loan
Other Expenses
Other Expenses

	Yes	No
Other Income?
Bankrupt in the last 7 years?
Lawsuits or Claims?
Have you ever had a judgement filled against you?
Are you a Political Exposed Person (PEP) or related to a PEP?
Are you the immediate relative of an employee of Sagicor?
Have you been present in the US for 31 days during the current year?
Have you been present in the US for 183 days during the last 3 years?

Sagicor Bank Credit Card Application Form

To ensure this product suits your needs please select the option(s) that is applicable to you

A. Personal Data - Tell Us About Yourself

B. Current Employer/Business Name

C. Financial Information

D. Additional Cardholder/Joint Co-Applicant

E. Next of Kin Information

F. Nearest Relative Contact Information

G. Supporting Documents

Online Banking