BPI Confirmation Form
BPI Confirmation Form
BPI Confirmation Form
This is to confirm that I have submitted a physical copy of my credit card application form, and have submitted a
copy of the following documents as part of the application requirements:
1. ID, please specify type: ___________________________________________
2. Income document, please specify if applicable: ___________________________________________
___________________________________________
Also, I confirm that the following items were clearly explained and discussed to me by the sales agent whose name
and agency affiliation appears below:
YES NO
1. Features and benefits of my chosen card/s. (Please check)
BPI Blue MasterCard BPI Edge MasterCard
BPI Gold MasterCard Visa Signature
Amore Visa Regular eCredit Mastercard
Amore Visa Platinum BPI Family Savings Banks
BPI-Petron MasterCard MasterCard
2. Annual membership fee is free only for the first year
3. The agent offered ONLY a BPI and/or BPI Family Credit Card product.
____________________________________ ____________________________________
Customer’s Name and Signature Direct Sales Agent and Signature
____________________________________ ____________________________________
Location / Date Agency Name
Also, I confirm that the following items were clearly explained and discussed to me by the sales agent whose name
and agency affiliation appears below:
YES NO
1. Features and benefits of my chosen card/s. (Please check)
BPI Blue MasterCard BPI Edge MasterCard
BPI Gold MasterCard Visa Signature
Amore Visa Regular eCredit Mastercard
Amore Visa Platinum BPI Family Savings Banks
BPI-Petron MasterCard MasterCard
2. Annual membership fee is free only for the first year
3. The agent offered ONLY a BPI and/or BPI Family Credit Card product.
____________________________________ ____________________________________
Customer’s Name and Signature Direct Sales Agent and Signature
____________________________________ ____________________________________
Location / Date Agency Name