Sagicor Bank Business Credit Card Application Form

Title
First Name
Middle
Last Name
Mailing Address

Street Address

Street Address Line 2

Parish

Postal Code
Telephone Number (Home) *
Telephone Number (Mobile) *
Email Address
Type a question

Yes, I am a Politically Exposed Person (PEP) or related to one
C. Financial Information
Financial Institution
Branch
Total Sales Revenue ( last business year)
Outstanding Financials (i.e. loans - last business year)
Outstanding Financials (i.e. credit cards - last business year)

D. Credit Card Requirements
Number of Cards:
Credit Limit
Type of Card

$JMD $USD
Business Card Embossing Name (Not exceeding 19 Characters):
Account Option/Rewards:

Company Rewards Redemption (Primary Cardholder Authorization) Personal/Cardholder Rewards Redemption
E. Online Banking
User ID ( if already assigned by Bank)
Banking Account #:
Credit Card Viewing Access

Company Cardholder
Annual Salary
F. Employee Cards Required
Ensure a copy of ID & TRN is submitted for all cardholders being added to your company's Sagicor Bank Business Credit Card. Each card issued will bear the company and employee name as shown below. The first cardholder listed will be the Primary Cardholder and the only one able to redeem Reward points earned by all cardholders in the Rewards program if the Company Rewards Redemption Product Option has been selected.
Title
First Name
Last Name
Email Address
Telephone Number (Work)
Credit Card Limit (if individual limit required)

Title
First Name
Middle
Last Name
Job Title
Email Address
Telephone Number (Home)
Credit Limit Requested By Company
Type a question

Yes, I am a Politically Exposed Person (PEP) or related to one
Cardholder Signature *

Clear
Title
First Name
Middle Name
Last Name
Job Title
Email Address
Telephone Number (Home)
Credit Limit Requested By Company
Yes, I am a Politically Exposed Person (PEP) or related to one
Cardholder Signature

Clear
Title
First Name
Middle
Last Name
Job Title
Email Address
Telephone Number (Work)
Credit Limit Requested By Company
Yes, I am a Politically Exposed Person (PEP) or related to one
Cardholder Signature

Clear

How did you hear about Sagicor Bank Credit Card?
Card Delivery Method

By Mail Branch Courier (at a cost)
For prompt application processing, please email the following, signed by authorized Company signatories and stamped with company seal to SBJ_businesscreditcard@sagicor.com.
- Government ID: (Passport, Driver's Licence, National/Voters) & TRN for each Director/Partner/Cardholder
- Certified Copy of Business Registration Certificate/Certificate of Incorporation, Memorandum & Articles of Association, Business Tax Registration Number (TRN), Tax Compliance Certificate
- Last 2 Years audited financial statements or last 2 years' in-house prepared Financial Statements with cash flow projections when required
- Last 6 months current/savings account statements (Non-Sagicor customers)
- 3 months' evidence of paid Utility Bills, Statutory Payments and/or Customs Clearance invoices
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.
Type a question

I do not have an Online Banking Profile
Online Banking Declaration:

I/We hereby authorise the Bank to use the information provided herein in creation of an Online Banking Account with the Bank’s Online Banking Service, “SAGICOR ONLINE” or such other application and I/we agree to be bound by the terms and conditions published by Sagicor and which are applicable to its online banking products and services.
First Name
Last Name
Cardholder Signature *

Clear
Date

Month Day Year
Date
First Name
Last Name
Cardholder Signature *

Clear
Date

Month Day Year
Date
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Should be Empty:

A. Business Details

B. Director/Owner Information

C. Financial Information

D. Credit Card Requirements

E. Online Banking

F. Employee Cards Required