The American Express Supplementary Gold Charge Card

WELCOME

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

Confirm that you (and any Supplementary Cardmembers) are over 18 years of age and are not resident(s) of the USA.
We are unable to accept applications through this website from people whose main residence is in Singapore. If your residence is in Singapore and you are interested in applying for an International Currency Card, please contact Customer Services.
You have their Identity Card or Passport or National ID Card at hand. You will need to send a certified copy of their identity document to us as part of the application process.
You will need to send us a certified copy of proof of their address (must be a utility bill) and dated in the last 3 months.

Supplementary Gold Euro Charge Cards are €100. This will be charged to the basic Card. The spending on each Supplementary Card will be itemised separately on your monthly statement.

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 required.

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

ABOUT YOU

HELP

American Express Card number

This is the 15 digit account number on the front of your existing American Express Card(s).

4-digit Card Identification Number

This is the 4-digit number printed on your Card above the Account number.

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.

Need more help? Check our list of FAQs

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

American Express Card Number*

4-digit Card Identification Number* This number is displayed on the front of your American Express Card.

Name In Full

Title*
First Name*
Middle Names
Family Name*

Mother's Maiden Name* 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.

Date of Birth*

/ /

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

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

Email Address* We need your email address to keep you informed about your application.

Supplementary Card 1

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
Their 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 your Supplementary Applicant or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help? Check our list of FAQs

You will be the main Cardmember, but the Supplementary Applicant will be able to make purchases on the Card and you will be solely responsible for all charges on Supplementary Cards.

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 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).

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

Yes No

Address Line One*

Address Line Two*

Country*

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

Would you like another Supplementary Card?*

Yes No

Supplementary Card 2

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
Their 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 your Supplementary Applicant or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help? Check our list of FAQs

You will be the main Cardmember, but the Supplementary Applicant will be able to make purchases on the Card and you will be solely responsible for all charges on Supplementary Cards.

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 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).

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

Yes No

Address Line One*

Address Line Two*

Country*

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

Would you like another Supplementary Card?*

Yes No

Supplementary Card 3

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
Their 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 your Supplementary Applicant or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help? Check our list of FAQs

You will be the main Cardmember, but the Supplementary Applicant will be able to make purchases on the Card and you will be solely responsible for all charges on Supplementary Cards.

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 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).

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

Yes No

Address Line One*

Address Line Two*

Country*

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

Would you like another Supplementary Card?*

Yes No

Supplementary Card 4

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
Their 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 your Supplementary Applicant or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help? Check our list of FAQs

You will be the main Cardmember, but the Supplementary Applicant will be able to make purchases on the Card and you will be solely responsible for all charges on Supplementary Cards.

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 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).

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

Yes No

Address Line One*

Address Line Two*

Country*

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

Would you like another Supplementary Card?*

Yes No

Supplementary Card 5

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
Their 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 your Supplementary Applicant or family member or close associate. E.g. Member of Parliament, Member of Supreme Court.

Need more help? Check our list of FAQs

You will be the main Cardmember, but the Supplementary Applicant will be able to make purchases on the Card and you will be solely responsible for all charges on Supplementary Cards.

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 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).

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

Yes No

Address Line One*

Address Line Two*

Country*

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

Supplementary Gold Card®

Secure Application Form