Sagicor Bank Prepaid Card Application Form

Sagicor Bank Prepaid 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:
- ID (Driver's Licence, Passport, National ID / Voter's ID)
- TRN
- Proof of Address
Expired photo IDs are not accepted.

About Our Prepaid Card
Our Prepaid Card seeks to empower our clients with financial freedom and flexibility, by offering a safe, secure and reliable prepaid solution.

Below we have displayed the current limits for our Prepaid Card.

General Details
Approval Status
Prefix (Mr, Mrs, Ms, etc.)*
First Name*
Middle Name
Last Name*
Mother's Maiden Name*
Date of Birth*

DayMonthYear
Date
Marital Status*
Tax Registration Number (TRN)*
Country of Birth*
Country of Nationality*
Country of Residence*
ID Type*
ID Number*
Source of Funds*
ID Expiry Date*

DayMonthYear
Date
Other Source of Funds*
Please enter your Occupation*
Are you a Politically Exposed Person (PEP) or related to a PEP?*

YesNo

Contact Details
E-mail Address*
example@example.com
Mobile Number*
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Is your home address the same as your mailing address*

YesNo
Home Address*

Street/Apt #/Lot#

City

State/ParishState / Province

Postal / Zip Code
Mailing Address*

Street/Apt #/Lot#

City

State/ParishState / Province

Postal / Zip Code
Preferred Sagicor/Alliance Branch for Collection of Card*

Were you referred or recommended by any branch or representative?*

YesNo
Please select the BRANCH that recommended you.*
Please select the REPRESENTATIVE that recommended you.*
Please enter N/A if you do not remember the representative's name or if this does not apply to you

Document Uploads
Upload your ID here ( Back and Front)*

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Upload your TRN here (Back and Front)*

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Upload your Proof of Address here*

Accepted documents are Bank Statements, Utility Bills, Letter from a JP, Voter's / National ID. Utility Bills in the registered applicant's name must be no older than three (3) months.
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I hereby confirm that I am, for tax purposes, resident in the following countries (indicate the tax reference number type and number applicable in each country).
Declaration of Tax Residency (Other than U.S.)

Prepaid Card Application Declaration
Prepaid Card Application Declaration

I, the undersigned, authorize Sagicor Bank Jamaica Limited (‘the Bank’), to obtain any applicable information as it may require concerning this application including my personal and financial information. I warrant and confirm that:

(i) the information given herein is true, correct and complete;

(ii) I understand that the information is being used to determine my prepaid account worthiness and the Bank will be relying on the information in evaluating my application;

(iii) no information, which might affect the Bank’s decision to make a prepaid facility available, has been withheld;

(iv) this application is and shall remain the property of the Bank whether or not the application is granted;

(v) I am responsible for the use of the card;

(vi) the funds used to purchase this card were legally sources and the card will not be used for purposes that are not permitted under the laws of Jamaica;

(vii) I agree to be bound by the terms and conditions set out in the Cardholder Agreement as the same may be amended from time to time; and

(viii) I am 18 years or older.

I hereby authorize and consent to:

The Bank receiving and/or sharing any financial or other information about me from or with any of its affiliates, parent company or subsidiaries whether in or outside the jurisdiction, agents, third party assignees, other financial institutions, third party service providers, regulators in and outside of the jurisdictions in which the Bank does business as may be required by law or from or with any other person or corporation with whom I may have or propose to have financial or other business dealings from time to time.

In particular, I hereby authorize Alliance Financial Services Limited to disclose information about me to the Bank. The Bank may use the information in this application in respect of any of its present or future services permitted by law.

I hereby indemnify the Bank against any loss, claims, damages, liabilities, actions and proceedings and legal and/or other expenses incurred by the Bank as a consequence of the disclosure of my financial and/or other information.

E-BANKING DECLARATION

I hereby authorize the Bank to use the information provided herein in creation of an E-Banking Account with the Bank’s E-Banking Service, “SAGICOR e-BANK” or such other application and I agree to be bound by the terms and conditions published by Sagicor and which are applicable to its on-line banking products and services.

For further information on how Sagicor processes your personal data, please visit: https://www.sagicor.com/en-JM/Privacy-Policy
PrepaidCard Terms & ConditionsThesePrepaid Card Terms and Conditions (“Terms and Conditions”) state the terms andconditions under which your Prepaid Card has been issued to you by Sagicor BankJamaica Limited. By accepting and using the Prepaid Card, you acknowledge thatyou have received a copy of these Terms and Conditions, acknowledge that youhave read, understood and agree to be bound by these Terms and Conditions, andwarrant that the information supplied by you on the Prepaid Card applicationform is true and correct.1.Definitions and InterpretationUnlessthe context otherwise requires throughout these Terms and Conditions words suchas “we”, “us”, “our” or words of similar import means Sagicor and words such as“you”, “your” or words of similar import means the Cardholder. The followingexpressions have the meanings stated hereunder:“Adult” meansan individual who is over eighteen (18) years of age.“Agent” meansa Prepaid Card agent authorized by Sagicor.“ABM” means anAutomated Banking Machine operated by any financial institution participatingin the Mastercard network accessible using a Debit, Credit or Prepaid Card.“Balance” meansthe value of funds that are loaded on to the Card and are available forspending.“Prepaid Card” or “Card” means the stored value prepaid card issued by Sagicor BankJamaica Limited. A reference to the “Prepaid Card” or “Card” also includes thecard number and PIN unless otherwise specified.“Cardholder” meansan individual who is the authorized holder of a Prepaid Card.“Electronic Address” includes an email address, telephone number, username or other numeric or alphabetical orcombination of numeric or alphabetic identifier which allows the sending ofelectronic communications to a specific person.“Electronic Means” includes electronic mail (email), Short Message Service (SMS) or othermessaging services and internet messaging services.“MasterCard” meansMasterCard International and its successors and assigns.“Minor” meansa person who is under eighteen (18) years of age.“PIN” means yourPersonal Identification Number, password, user ID and/or any other number orword or combination of numbers, words or other characters used to execute or toauthorize a transaction in conjunction with a Card.“Prepaid Card Application” means a subscriber application form for a Card. ThePrepaid Card Application may be in a physical or electronic form.“POS” means Point-of-Sale, the retail payment system whereby an electronic transfer of funds iseffected in the purchase of goods and services by an electronic device used bymerchants, retailers and service providers to transmit requests for authorizationand settlement of transactions initiated using cards issued to cardholders.“Sagicor” meansSagicor Bank Jamaica Limited.“Sagicor Group of Companies” means Sagicor Group Jamaica Limited, Sagicor Life JamaicaLimited, Sagicor Investments Jamaica Limited, Sagicor Bank Jamaica Limited orany subsidiary or parent of the aforementioned companies.“AFSL” means AllianceFinancial Services Limited.TheseTerms and Conditions shall not replace but are in addition to any otheragreements you have with us. The Section headings in these Terms and Conditionsare for convenience only and shall not be used as an aid to interpretation.2.Ownership of the Prepaid CardThePrepaid Card which has been issued to you is and shall remain the property ofSagicor and we may cancel or suspend its use without prior notice to you. Youwill however be solely and completely responsible for the possession, use andcontrol of the card.3.Adding Funds to the Prepaid CardThefunds available from the Card issued to you are limited to the funds that youhave loaded onto the Card or which have been loaded onto the Card on yourbehalf. We will endeavour to load the funds to be credited to the Card within areasonable time after the Card is issued. The loading of funds to the Card maybe delayed until we have actually received free and clear funds from you,during such delay, the value will not be available to you. You may load fundsto the Card through the designated channels authorized by us. You will not beable to load funds to the Card once it has expired. A fee may apply for loadingfunds to the Card. We reserve the right to accept or reject any request to addfunds to the Card, at our sole discretion. From time to time, we may ask you toprovide information about the source of funds to be loaded onto the Card, youhereby agree to provide such information accurately when requested and youwarrant that funds loaded unto the Card shall not be derived from or connectedwith any unlawful activity.4.Use of your Prepaid Card, Prepaid Card Number & PINUponissuance of your Card, you will be required to select a PIN for use at ABMs.Your PIN must be 4 digits in length and is used with the Card to performtransactions, to access the funds loaded unto the Card and to identify you. Fortransactions which require the use of your PIN, you hereby authorize us toaccept, and you agree to be responsible for electronic instructions given byyou through the use of your PIN to the same extent as if you had given signed,written instructions to us. You further agree to indemnify and hold Sagicorblameless from and against all claims, losses, expenses, fees and chargesbrought against or incurred by Sagicor as a result of Sagicor’s compliance withyour instructions and the use of your PIN.Youmay use the Card to purchase goods and services including mail order, onlineand POS at retail merchants anywhere MasterCard is accepted and to access cashat any ABM that accepts MasterCard subject to these Terms and Conditions. Eachtime you use the Card to purchase goods or services, to access funds or to make transfers, you authorize Sagicor to debit the Card. The Card is non-transferable and may only be used by the Cardholder. You must not use the Card for illegal or fraudulent purposes or take any step swhich could undermine the security or integrity of any of our products of services, or cause harm to any other user of our products and services. For our mutual protection, we reserve the right to record all telephone calls to our customer care agents that relate to our products and services.The card is not connected to a bank account and is not a credit card. The Card is not for resale and you will not receive any interest on your funds loaded on to the Card. If you use the Card number without presenting your Card (such as for a mail order, telephone, or Internet purchase), the legal effect will be thesame as if you used the Card itself.5.Withdrawals and PaymentsYouare responsible for the accuracy of your transaction instructions. Depending onthe type of transaction, instructions once sent may be final and irrevocable,so that it may not be possible to retrieve funds credited or sent in error. Itis your responsibility to ensure that sufficient funds are available on theCard issued to you to facilitate your transactions, instructions will not be processed without sufficient funds. We are not liable to you for declining authorization for any particular transaction, regardless of reason.6.Transaction RecordsYoumay receive a receipt or transaction record at Agent locations, ABMs and POSterminals for your convenience to enable you to confirm the details of the transaction you have performed using the Card. Even though you may be provided with a receipt or transaction record, our verification and acceptance of all transactions will be considered correct and binding upon you.7.Errors or Disputed TransactionsYoumust promptly and carefully examine your receipts and transaction confirmations to ensure your Card balance is correct and that the transactions which have been executed conform to your instructions and have been successfully executed.In case of errors, please call our Customer Service Centre toll-free at 888-SAGICOR (724-4267). You must notify us in writing within 30 days of the date of a transaction, of any errors or discrepancies to allow corrective action to be taken. You must ensure that you provide your name, your Cardnumber, the date, dollar amount of a disputed transaction in your correspondence to us. We will be unable to rectify errors or discrepancies if written notification is not received in time.Weare not responsible for any failure to supply, or lack of suitability orquality of, any goods or services purchased from merchants or others using the Card. You must resolve such disputes directly with the merchant or others involved. If you have a problem regarding a transaction attempted or completed using the Card, you must call our Customer Service Centre toll-free at888-SAGICOR (724-4267) to query the transaction. In the event that you report a fraudulent, unauthorized or disputed transaction, we will make every attempt to resolve your issue as quickly as possible. You agree that during the course of any subsequent investigation, you will provide an assigned written statement or a properly executed affidavit if you are required by us to do so. Additionally, Sagicor may, in its absolute discretion, take any other action it deems necessary in connection with an investigation into a fraudulent, unauthorized or disputed transaction.8.LimitsWemay set transaction limits for use of the Card from time to time. Limits may include maximum transaction sizes, minimum transaction sizes, number of transactions permissible in a given period (for example daily), transaction type or geographic limits on transactions done within a certain geographiclocation. Limits will be communicated to you when we issue your Card to you. Wemay change these limits from time to time without prior notice to you. It isyour responsibility to check your limits from time to time through your branchor our website.9.Card ExpirationTheCard issued to you carries an expiration date; you may not use the Card for anypurpose after its expiration date. If you attempt to use the Card after theexpiration date, your transactions will not be processed. If there is a balanceremaining on the Card upon expiration, the balance may be transferred to a newCard if we choose to issue one to you. If we choose not to issue a new Card toyou or if we cancel your Card for any reason, we will attempt to refund to youthe balance remaining on Card. A cheque made payable to you may be mailed toyour most recent postal address as indicated in our records.10.Prepaid Card and PIN Security and ConfidentialityYoumust notify us immediately if: (i) Your Card is lost or stolen, or you suspectit is lost or stolen, or someone has used it other than yourself; or (ii) YourPIN or card number has become known to someone else, or you suspect it hasbecome known to someone else. You may notify us by calling our Customer ServiceCentre, toll free at 888-SAGICOR (724-4267). You will not be liable for anytransactions resulting from the loss or theft of your Card or compromise ofyour card number or PIN that occur after the time you tell us about the loss,theft or compromise.Youmust keep your Card, card number and PIN confidential and take every reasonableprecaution to keep them safe. This includes: Keeping possession of your Card; Never keeping a written record of the PIN; Avoiding PIN combinations that may be easily determined by others such as your birthday, phone number, address, Tax Payer Registration Number, etc.; Not disclosing your PIN voluntarily to anyone else at any time, including to a family member, friend, financial institution employee or law enforcement agency; Taking all reasonable precautions to ensure that no one can see your PIN while keying it in.11.Your Liability for TransactionsYouare responsible for the full amount of all transactions performed using theCard from: (i) the use of your Card by you or any person to whom you have madethe Card available; (ii) your failure to maintain the security andconfidentiality of your Card with the result that your Card is lost, stolen ormisused; and (iii) the making of incorrect instructions.12.Liability for Damages Wewill not be responsible or liable for any damage, loss or inconvenience you mayincur if you are unable to perform transactions using the Card as a result ofany failure, error or malfunction unless such failure, error or malfunction isdue to our gross negligence or the gross negligence of our employees, agents orrepresentatives. Additionally, we are not responsible for any penalties, fees,interest, costs or damages imposed upon or suffered by you with respect to anywithdrawals, payments or other transactions.13.RefundsIfyou are entitled to a refund for any reason (including from a merchant forgoods and services purchased with your Card), you agree to accept credits toyour Card for such refunds.14.Cards Issued to MinorsWemay, at our absolute discretion, issue Cards to Minors who are over the age of13 years of age provided an Adult who is the Minor’s parent or legal guardianco-signs the Prepaid Card Application. The adult co-signer shall be liable forall transactions performed by the minor using the Card and ensuring compliancewith these Terms and Conditions. The adult co-signer shall indemnify and holdSagicor harmless from and against all liabilities, losses, defaults, charges orclaims whatsoever suffered by or brought against Sagicor as a consequence ofthe use of the Card and PIN by the Minor.15.Service ChargesWewill charge our current service charge rates for the use of the Card issued toyou. Please see our Fee Guide for our current fees; our fees are subject toadjustment from time to time in our absolute discretion. While you have a debitbalance on your Card, your Card is still active and available for use after youreload it. You may continue to check your Card balance, review your transactionhistory, obtain customer service, dispute transactions and reload your Carduntil your Card expires. In addition to our fees, you will pay the servicecharges of any other financial institution that are imposed as a result of anyelectronic banking service that you may use with the Card including the use ofABMs. If you have insufficient funds on your Card to cover the requestedtransaction amount plus fees and charges, your transaction will be declined. Ifyour transaction is not declined, you will remain liable for such fees andcharges as are debited to your Card.16.Your Right to Return the CardUnlessotherwise provided in these Terms and Conditions or agreed with us, you mayreturn the Card to the issuing branch or Agent and request payment or transferof the balance on the Card. In all cases, you must still fulfil all yourobligations under these Terms and Conditions. For the avoidance of any doubt,you will not be relieved of your obligations to us until all amounts owed tous, including service charges and costs, have been paid in full.17.Card ReplacementIfyou need to replace your Card for any reason, please contact our CustomerService Centre toll free at 888-SAGICOR (724-4267) to request a replacement orvisit an Agent location. You will be required to provide personal informationwhich may include your Card number, full name, transaction history, yourtaxpayer registration number and valid identification. A fee may be charged fora replacement Card.18.Our Right to TerminateWemay cancel your Card and PIN and terminate our agreement with you or suspend orrefuse to allow transactions without notice to you. In all cases, you stillmust fulfil all your obligations under these Terms and Conditions. You are notrelieved of your obligations until all amounts owed to us, including servicecharges and costs, have been paid in full.19.Your Obligation to Supply InformationSagicoris required to maintain and periodically update information on its clients; wemay therefore request that you supply us with your personal and financialinformation from time to time. You must satisfy all information requests madeby us in a timely manner and provide accurate and complete information inresponse to our requests. Additionally, if there is a change in any of theinformation you have supplied to us, you must notify us of such change within areasonable time thereafter.20.Change of AddressIfyour postal address changes, you must notify SAGICOR Customer Service Centre at888-SAGICOR (724-4267) immediately. We shall not be responsible for any lossresulting from your failure to provide us with an updated postal address. Anynotice given by the Bank shall be deemed given to you if mailed to you at thelast postal address for the Card furnished by you to the Bank.21.Sharing of your InformationYourpersonal and financial information is used to help us provide you with betterproducts and services, manage risk and satisfy legal and regulatoryrequirements which are applicable to the Sagicor Group of Companies. Yourinformation is also used in order to satisfy valid information requests fromregulators and other organizations or individuals who are legally entitled torequest the information. We may disclose personally identifiable information tothird parties about the Card or the transactions you perform: (a) where it is necessaryfor completing transactions; (b) in order to verify the existence and conditionof the Card for a third party; (c) in order to comply with a request from agovernment agency or court order; (d) to service providers who administer theCard or perform data processing, records management, collections, and othersimilar services for us, in order that they may perform those services;(e) inorder to prevent or investigate possible illegal activity; or(f) in order toissue authorizations for transactions on the Card.22.Unclaimed BalancesIffunds standing to your credit shall remain unclaimed for a period of 15 years,such funds may lapse and become payable to the Government of Jamaica if thefunds are not claimed within 1 year of the publication of a notice to thateffect.23.Communications Using Electronic MeansWemay (at our sole and absolute discretion), communicate with you and acceptinstructions from you by Electronic Means. In consideration of our acceptanceof your instructions by Electronic Means you irrevocably agree with us (a) thatcommunications by Electronic Means are not secure and carry with them the risksof interception and/or alteration and that unauthorized persons may sendinstructions to Sagicor using these means; (b) you voluntarily and with fullknowledge take and assume any and all risks associated with communicationsusing Electronic Means; (c) you will provide us with your Electronic Address tofacilitate communication with you via Electronic Means; (d) that onceinstructions have originated from the Electronic Address notified to us by you,we shall have no obligation to check or verify the authenticity or accuracy ofsuch instructions purporting to have been sent by you and may act thereon as ifsame had been duly given by you; (e) that in acting on your instructions, Sagicor shall be deemed to have acted properly and to have fully performed all obligations owed to you, notwithstanding that the instructions may have been initiated, sent or otherwise communicated in error or fraudulently, and you shall be bound by any instructions on which Sagicor may act if Sagicor has in good faith acted in the belief that such instructions were given by you; (f)that Sagicor may, in its absolute discretion, decline to act on or in accordance with the whole or any part of any instruction pending further enquiry to or further confirmation (whether written or otherwise) by you, so however that Sagicor shall not be under any obligation to so decline in any case, and Sagicor shall in no event or circumstance be liable in any respect for not so declining; (g) that any security procedures implemented by Sagicor are designed to verify the source of a communication and not to detect errors in the instructions or content and Sagicor shall not be liable for any loss or damage occasioned by such errors; and (h) Sagicor's ability to act on communications sent by Electronic Means is restricted by its actual knowledge of such communications, it is your duty to confirm the sending and receipt of such instructions, otherwise Sagicor will not be liable for any delay or failure to receive those Instructions.24.Mobile Application You may load your funds onto your Card, perform funds transfers and other Prepaid Card transactions by using an application made available by Sagicor. Although considerable effort is expended to make the mobile application and other operational and communications channels available at all times, Sagicor does not warrant that these channels or services will be available and error-free at all times. You agree that Sagicor will not be responsible for any temporary service interruptions which occur for whatever reason from time to time. You agree to be bound by the specific terms and conditions governing the use of the mobile application, which terms and conditions can be viewed prior to downloading the application. In particular, Sagicor shall not be liable, for any loss or damage caused by any virus or malware, or non-compatibility of the mobile application with your mobile device.25.Amendments to these Terms and Conditions We may make changes to these Terms and Conditions from time to time at our absolute discretion. We will notify you of any changes by either posting a notice in our branches and Agent locations or on our website or by sending you an electronic mail text message. If you keep your Card (including a renewal or replacement Card) after we send a notice that these terms and conditions have been amended, you will be deemed to accept the changes as of the effective date set out in the notice.26.Severability If any of the terms of this Agreement are deemed invalid or unenforceable by any Court of competent jurisdiction or competent regulatory authority, the remaining terms of this Agreement shall not be affected, and this Agreement shall be interpreted as if the invalid terms had not been included in this agreement. We may unilaterally amend this agreement to replace a term which has been deemed to be invalid or unenforceable with a new term.27.Governing Law The provisions of these Terms and Conditions shall be governed by the Laws ofJamaica and the Cardholder hereby waives any defense of inconvenient forum or such other defense in opposition to Jamaican Courts which shall have jurisdiction to hear and determine disputes in respect of these Terms andConditions.28.Contact Us Tellus about your problem or concern in the way that is most convenient for you. You may visit an Agent location or contact our Customer Service Centre toll-free at 888-SAGICOR (724-4267).

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Sagicor Bank Prepaid Card Application Form

About Our Prepaid Card

General Details

Contact Details

Document Uploads

Prepaid Card Application Declaration