The American Express Platinum Charge Card

American Express International Currency Cards are served in English. Please note, ICC cards are not offered to residents of the USA, Singapore, the European Union (UK exempt) and some other excluded countries. Visit your local American Express website for full details on products available in your country of residence at www.americanexpress.com

In order to qualify for the American Express Platinum Charge Card, you must make sure that you:

Are an existing American Express customer with more than six months of membership, or have been referred by your Private Bank.
Confirm that you (and any Supplementary Cardmembers) are over 18 years of age
Have an annual income of at least US$65,000
Please note, as an existing Cardmember, you may not be eligible for a Welcome Bonus if you currently hold or have held any other Membership Rewards^® enrolled American Express Cards in the last six months.

Please note International Currency Card products are only available to existing American Express customers with more than six months of membership, or to individuals that have been referred by their Private Bank. Should you wish to discuss this further, please call the American Express New Membership team on +44 1273 576070 between 9.00 and 17.00, GMT, Monday to Friday. To learn about other products available to you, please visit www.americanexpress.co.uk/personalcardprivacy

Have the following items to hand:

Your existing 15 digit American Express Card Number.
Passport or National ID Card.
Proof of Address (must be a utility bill or bank statement, not a mobile phone bill) and dated in the last 3 months. You will need to send a certified copy of these to us once you have completed the online application.
The same two documents above for any Supplementary Applicants. They will also need to provide certified copies of these.

The Cardmembership fee for The Platinum Dollar Charge Card is US$550.

For security reasons it is not possible to save and return to your application. You will have 30 minutes to complete your application.

Please be sure to complete all the fields. Those marked with an asterisk * are mandatory.

For information about your personal data at American Express, please refer to your Insurance Product Information Document and the Card product Terms and Conditions and the Online Privacy Statement and the Cardmember Privacy Statement

Please note, alternative Card options are available starting from the Basic Card with no Cardmembership Fee.

ABOUT YOU

HELP

Name In Full
Providing us with your full name will ensure we can address you properly in the future.

Name On Your Card
The front of your American Express Card has room for up to 20 characters. You can select how you want your name to appear on it by clicking on the drop down box. Your surname must appear on the Card. If you have a long name, you may need to use just an initial and your surname.

Identity Type
We need a certified copy of your identity document to process your application. Exact details will be clear in your confirmation email.

Document Number
The document number will be displayed on your identity Card or Passport or Driving Licence.

In the last year, have you or a family member or close associate (including anyone with a close business relationship, e.g. joint ownership of company, partnership, or anyone benefiting from any company/other entity you own) held the position of:
This must be established in order to comply with the EU Third Money Laundering Directive.

Title of Role
Please enter the title of the role held by you or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Choose your PIN
When you use your card you may need to enter your PIN to confirm your identity. Please choose a 4-digit number that is easily remembered but difficult to guess, using numbers between 0 and 9.

Need more help?Check our list of FAQs

All your information is protected on this secure site and is used to process your application.

Name In Full

Title*
First Name*
Middle Name(s)
Family Name*

How would you like your name to appear on your Card?* Maximum 20 characters.

Choose Your PIN

Choose PIN* Your PIN must contain 4 digits using numbers between 0 and 9.

Confirm PIN* Your PIN must contain 4 digits using numbers between 0 and 9.

Date of Birth*

/ / (dd/mm/yyyy)

Nationality*

You will need to provide a certified copy of proof of your identity. Please select the type of document:* Please note: you will have to send a certified copy of your identity document for your application to be processed. Exact details will be clear in your confirmation email.

CONTACTING YOU

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Home Phone Number
Your home phone number is required as part of our standard checks. Having it will help us to process your application as quickly as possible.

Mobile Phone Number
Your mobile phone number may help us to contact you quickly if we have any questions about your application.

Email Address
Your email address may help us to contact you quickly if we have any questions about your application. It will not be used for marketing purposes or given to anyone else, without your permission.

We would like to keep you up to date with news of our products and services. Please select this box if you would like to receive this information via email.
If you select this box you may receive updates by email to the address you have provided, for example on new benefits provided or specific offers available.

Mother's Maiden Name
For security reasons, we may ask you to confirm this when you contact us about your application. We find that "Mother's Maiden Name" is the piece of information that most people can easily remember.

Need more help?Check our list of FAQs

We require your home phone number and your address as we may need to contact you about your application.

Home Phone Number Including international, country and area code e.g. 044. Please do not use spaces when entering phone number.

Mobile Phone Number* Including international, country and area code e.g. 044. Please do not use spaces when entering phone number. Your mobile number will be used to call or contact you by text message for servicing or operational reasons such as the prevention of fraud on your Account.

Email Address* We need your email address to keep you informed about your application. Your email address will only be used for the purpose of servicing and communicating information related to your Card Account (unless you have consented to us emailing you special marketing offers from American Express).

Please tick this box to get the most out of your new American Express Card. We will keep you informed via email about promotions associated with your Card, such as Card member events, exclusive presales and offers. We will not share your email address with other companies to market their own products or services. You can update your preferences later if you wish.

Mother's Maiden name* Please give your mother�s family name before marriage (one word, no spaces). We need this in order to identify you securely and to protect against fraud.

WHERE YOU LIVE

HELP

Address
Your home address is required as part of our standard security checks. Having it will help us to process your application as quickly as possible.

Need more help?Check our list of FAQs

Address Line One *This should be your main residential address (including country and postcode) and not a PO Box or business address.

Address Line Two

Town/City*

Country*

Postal or Zip Code e.g. Post code or Zip code.

Please note, ICC cards are not offered to residents of the USA, Singapore, the European Union (UK exempt) and some other excluded countries. Visit your local American Express website for full details on products available in your country of residence at www.americanexpress.com

Do you want us to send your statements to an alternate address?*

Yes No

Alternate Address Line -1 *Please give the address you would like your statements sent to.

Alternate Address Line -2

Town/City*

Country*

Postal or Zip Code e.g. Post code or Zip code.

FINANCIAL DETAILS

HELP

Source of Income
This must be established in order to comply with the EU Third Money Laundering Directive

Other
Other responses could include allowance from parents, settlements on divorce etc.

Gross Annual Income
Your gross annual income is the total income you receive (if you live together) in a year, before taxes, from all sources. If you are self-employed, please enter your annual household income for the past 12 months only.

Name on account
Name on account must match the name of the basic applicant as you must hold an account in your name.

Account Number
To qualify for an American Express Card, you must have a bank account.

Branch Code
This will be a unique reference code for your bank branch. It may be referred to as BIC, Sort-code, CHIPS, NCC, BSC etc.

Need more help?Check our list of FAQs

We need information about your finances for our standard checks. All your information is protected on this secure application site.

Do you have any other
American Express Cards?*

Yes No

Card Number*

- -

If this Account is still active and you wish to cancel please contact the number on the back of the Card.

Employment Status*

Other*

Source of Income/Funds*

Other*

Home Ownership:*

Gross Annual Income* Please enter in numbers only. E.g. $65,000 should be entered as 65000

US$.00

Please indicate the highest anticipated monthly spend over the next 12 month period*

US$.00

Bank Name*

Bank Address Line One*

Bank Address Line Two*

Country*

Postal or Zip Code e.g. Post code or Zip code

Name on account* This must be your personal Bank Account, not a business Bank Account.

Account Number* This is to verify that you have a bank account. This must be a personal bank account in your name, not a business bank account.

Your Card will be sent to your home address.

EMPLOYMENT DETAILS

HELP

We need your employment details to help us with our standard checks.

Need more help?Check our list of FAQs

We need information about your finances for our standard checks. All your information is protected on this secure application site.

Occupation*

Employer's Name*

Nature Of Business *

Other - please specify *

Length of Employment*

/

SELF-EMPLOYMENT DETAILS

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All Applicants who are self-employed must give an accountant contact to act as a referee. Where accountant details are not possible, please include an alternative financial referee such as a Bank Manager

We need your self-employment details to help us with our standard checks.

Need more help?Check our list of FAQs

Occupation*

Business Name*

Nature Of Business *

Other - please specify *

Work phone number Including international, country and area code e.g. 044. Please do not use spaces when entering phone number.

Length of Self-Employment*

/

Insurance Enrolment Your Card comes with insurance benefits, which are provided under a group policy that American Express holds for the benefit of its Cardmembers. There is no additional charge to you if you choose to receive this benefit. If you select no, there will not be an adjustment to your Card Fee and you can opt back in at any time by submitting a claim.

Would you like to enrol in this insurance now?*

Yes, enrol me now

No, I do not want to enrol at this time

Enrol into Membership Rewards Enrolment in the American Express Membership Rewards Programme is complimentary with The Platinum Card and you are enrolled automatically on approval of Cardmembership.

An additional Platinum Card is provided automatically with your main Platinum card to help separate your personal expenditure.

How would you like your name to appear on your Additional Card?* Maximum 17 characters

Do you want the PIN for the Additional Card to be the same as the one you selected for the Main card ?*

Yes No

Choose Your PIN

Choose PIN* Your PIN must contain 4 digits using numbers between 0 and 9.

Confirm PIN* Your PIN must contain 4 digits using numbers between 0 and 9.

SUPPLEMENTARY CARD APPLICATION

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Would you like to nominate someone to share the benefits with a Supplementary Card?
For added flexibility, you can order an Supplementary Card for a partner or family member, provided they are over 18.

Choose your PIN
When you use your card you may need to enter your PIN to confirm your identity. Please choose a 4-digit number that is easily remembered but difficult to guess, using numbers between 0 and 9.

Need more help?Check our list of FAQs

If you wish to share the advantages of Cardmembership with a family member, close friend or business colleague, simply complete this section.

Applicants must be 18 or over
Applicant must not be a USA or Singapore resident

The spending on each Supplementary Card will be itemised separately on your monthly statement.

As a Platinum Cardmember, you are entitled to the following as part of the annual fee:-

One Supplementary Platinum Card
Up to four complimentary Green and/or Gold Cards

Would you like to nominate someone to share the benefits with a complimentary Supplementary Card? * You will be the main Cardmember, but the Supplementary Cardmember will be able to make purchases on the Card and you will be solely responsible for all charges on Supplementary Cards.

Yes No

HELP

Identity Type
We need a certified copy of your Supplementary Applicants identity document to process their application. Exact details will be clear in your confirmation email.

Document Number
The document number will be displayed on your identity Card or Passport or Driving Licence.

Address
Home address is required as part of our standard security checks. Having it will help us to process their application as quickly as possible.

In the last year, has the Supplementary Applicant or a family member or close associate to them (including anyone with a close business relationship, e.g. joint ownership of company, partnership, or anyone benefiting from any company/other entity they own) held the position of:
This must be established in order to comply with the EU Third Money Laundering Directive.

Title of Role
Please enter the title of the role held by you or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help?Check our list of FAQs

What Supplementary Card type would you like?*

Name In Full*

Title*
First Name*
Middle Names
Family Name*

How would you like their name to appear on their Card?* This must contain their Surname (maximum 20 characters)

Relationship to Main Cardmember*

Date of Birth*

/ /

Nationality*

You will need to provide a certified copy of proof of their identity. Please select the type of document:* Please note: you will have to send a certified copy of their identity document for the application to be processed. Exact details will be clear in your confirmation email.

Mobile Phone Number

Email Address

Is the Supplementary Applicant's address the same as yours?*

Yes No

Address Line One* You will have to send a certified true copy of their proof of address (must be a utility bill or bank statement, not a mobile phone bill) for their application to be processed. Exact details will be clear in your confirmation email.

Address Line Two*

Country*

Postal or Zip Code e.g. Post code or Zip code

Would you like another Supplementary Card?*

Yes No

HELP

Identity Type
We need a certified copy of your Supplementary Applicants identity document to process their application. Exact details will be clear in your confirmation email.

Document Number
The document number will be displayed on your identity Card or Passport or Driving Licence.

Address
Home address is required as part of our standard security checks. Having it will help us to process their application as quickly as possible.

In the last year, has the Supplementary Applicant or a family member or close associate to them (including anyone with a close business relationship, e.g. joint ownership of company, partnership, or anyone benefiting from any company/other entity they own) held the position of:
This must be established in order to comply with the EU Third Money Laundering Directive.

Title of Role
Please enter the title of the role held by you or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help?Check our list of FAQs

What Supplementary Card type would you like?*

Name In Full*

Title*
First Name*
Middle Names
Family Name*

How would you like their name to appear on their Card?* This must contain their Surname (maximum 20 characters)

Relationship to Main Cardmember*

Date of Birth*

/ /

Nationality*

You will need to provide a certified copy of proof of their identity. Please select the type of document:* Please note: you will have to send a certified copy of their identity document for the application to be processed. Exact details will be clear in your confirmation email.

Mobile Phone Number

Email Address

Is the Supplementary Applicant's address the same as yours?*

Yes No

Address Line One* You will have to send a certified true copy of their proof of address (must be a utility bill or bank statement, not a mobile phone bill) for their application to be processed. Exact details will be clear in your confirmation email.

Address Line Two*

Country*

Postal or Zip Code e.g. Post code or Zip code

Would you like another Supplementary Card?*

Yes No

HELP

Identity Type
We need a certified copy of your Supplementary Applicants identity document to process their application. Exact details will be clear in your confirmation email.

Document Number
The document number will be displayed on your identity Card or Passport or Driving Licence.

Address
Home address is required as part of our standard security checks. Having it will help us to process their application as quickly as possible.

In the last year, has the Supplementary Applicant or a family member or close associate to them (including anyone with a close business relationship, e.g. joint ownership of company, partnership, or anyone benefiting from any company/other entity they own) held the position of:
This must be established in order to comply with the EU Third Money Laundering Directive.

Title of Role
Please enter the title of the role held by you or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help?Check our list of FAQs

What Supplementary Card type would you like?*

Name In Full*

Title*
First Name*
Middle Names
Family Name*

How would you like their name to appear on their Card?* This must contain their Surname (maximum 20 characters)

Relationship to Main Cardmember*

Date of Birth*

/ /

Nationality*

You will need to provide a certified copy of proof of their identity. Please select the type of document:* Please note: you will have to send a certified copy of their identity document for the application to be processed. Exact details will be clear in your confirmation email.

Mobile Phone Number

Email Address

Is the Supplementary Applicant's address the same as yours?*

Yes No

Address Line One* You will have to send a certified true copy of their proof of address (must be a utility bill or bank statement, not a mobile phone bill) for their application to be processed. Exact details will be clear in your confirmation email.

Address Line Two*

Country*

Postal or Zip Code e.g. Post code or Zip code

Would you like another Supplementary Card?*

Yes No

HELP

Identity Type
We need a certified copy of your Supplementary Applicants identity document to process their application. Exact details will be clear in your confirmation email.

Document Number
The document number will be displayed on your identity Card or Passport or Driving Licence.

Address
Home address is required as part of our standard security checks. Having it will help us to process their application as quickly as possible.

In the last year, has the Supplementary Applicant or a family member or close associate to them (including anyone with a close business relationship, e.g. joint ownership of company, partnership, or anyone benefiting from any company/other entity they own) held the position of:
This must be established in order to comply with the EU Third Money Laundering Directive.

Title of Role
Please enter the title of the role held by you or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help?Check our list of FAQs

What Supplementary Card type would you like?*

Name In Full*

Title*
First Name*
Middle Names
Family Name*

How would you like their name to appear on their Card?* This must contain their Surname (maximum 20 characters)

Relationship to Main Cardmember*

Date of Birth*

/ /

Nationality*

You will need to provide a certified copy of proof of their identity. Please select the type of document:* Please note: you will have to send a certified copy of their identity document for the application to be processed. Exact details will be clear in your confirmation email.

Mobile Phone Number

Email Address

Is the Supplementary Applicant's address the same as yours?*

Yes No

Address Line One* You will have to send a certified true copy of their proof of address (must be a utility bill or bank statement, not a mobile phone bill) for their application to be processed. Exact details will be clear in your confirmation email.

Address Line Two*

Country*

Postal or Zip Code e.g. Post code or Zip code

Would you like another Supplementary Card?*

Yes No

HELP

Identity Type
We need a certified copy of your Supplementary Applicants identity document to process their application. Exact details will be clear in your confirmation email.

Document Number
The document number will be displayed on your identity Card or Passport or Driving Licence.

Address
Home address is required as part of our standard security checks. Having it will help us to process their application as quickly as possible.

In the last year, has the Supplementary Applicant or a family member or close associate to them (including anyone with a close business relationship, e.g. joint ownership of company, partnership, or anyone benefiting from any company/other entity they own) held the position of:
This must be established in order to comply with the EU Third Money Laundering Directive.

Title of Role
Please enter the title of the role held by you or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help?Check our list of FAQs

What Supplementary Card type would you like?*

Name In Full*

Title*
First Name*
Middle Names
Family Name*

How would you like their name to appear on their Card?* This must contain their Surname (maximum 20 characters)

Relationship to Main Cardmember*

Date of Birth*

/ /

Nationality*

You will need to provide a certified copy of proof of their identity. Please select the type of document:* Please note: you will have to send a certified copy of their identity document for the application to be processed. Exact details will be clear in your confirmation email.

Mobile Phone Number

Email Address

Is the Supplementary Applicant's address the same as yours?*

Yes No

Address Line One* You will have to send a certified true copy of their proof of address (must be a utility bill or bank statement, not a mobile phone bill) for their application to be processed. Exact details will be clear in your confirmation email.

Address Line Two*

Country*

Postal or Zip Code e.g. Post code or Zip code

The Platinum Card®

Secure Application Form