American Express^® CapitaCard

MORE ABOUT YOU

1. Gender*
   Male

   Female
2. Marital Status*
   Married

   Single
3. Highest Academic Qualification
   Please Select O Level A Level Diploma Bachelor Masters Phd Others
4. Nationality*
   Select Country Singapore Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Balrus Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkino Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos(Keeling)Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands(Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany, Federal Republic Of Ghana Gibraltar Greece Green land Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran(Islam Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep Korea, Republic Of Kuwait Kyrgystan Lao People's Democratic Republ Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia-Provisional Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua Guinea Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent And The Granedines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Slovakia(Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia & South Sandwich Spain Sri Lanka St.Helena St.Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying United States Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands(British) Virgin Islands(U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
5. Are you a Singaporean/PR?*
   Yes

   No

YOUR SINGAPORE ADDRESS

1. Your Home Number is mandatory as an alternate contact option if we are unable to reach you through your mobile number. None of your contact details will be given out to anyone else without your permission.
   Singapore Home Phone Number*
2. Block/House No*

   Unit No
3. Street Name*
4. Country*

   Postcode*

MEMBERSHIP DETAILS

1. Are you an existing American Express Card Member?*

   Yes

   No
If yes, please enter your American Express Card Number.
1. Current American Express Card Number*
I have read, understood and agree to the Important Information for existing Card Member.

2. 1. In general, each Card Member is allowed to hold one American Express Charge Card and up to two American Express Credit Cards (of which only one can be a American Express® Singapore Airlines Credit Card) issued by American Express in Singapore. If, with this current application, you will exceed the maximum number of Card(s) allowed within each category* (as determined by American Express in its sole and absolute discretion from time to time), then your existing Card in the corresponding category will be cancelled upon approval of this application.

      If you currently hold the American Express® Blue Credit Card OR American Express® Gold Credit Card (earning Membership Rewards points), this will be automatically cancelled upon approval of your application for any new American Express Credit Card.

      Click here to view Charge/Credit Card categories.

   2. The following Terms and Conditions apply if any of your existing Credit and/or Charge Cards are cancelled, as set above:

      1. Existing Supplementary Charge/Credit Card(s) of the cancelled basic Charge/Credit Card will automatically be cancelled upon approval of your new Charge/Credit Card application.
      2. Fees paid on the cancelled Credit Card(s) will be pro-rated, where applicable.
      3. If you are on recurring payment arrangements with any of your service provider(s) and other organization(s) and wish to ensure that they are not disrupted, please contact the respective organization(s) to provide your new Credit Card number
      4. Any charges and/or outstanding balance will be transferred to the new Credit Card at our prevailing interest rate applicable to the new Credit Card. If you were enjoying a promotional rate on your Credit balance, the interest rate charged after transfer to the new Credit Card may be higher than the promotional rate.
      5. Any Cashback accrued will be forfeited.
      6. Any Membership Rewards points earned on your cancelled Credit Card will be forfeited on the date of Account termination unless you have an American Express Charge/Credit Card with a valid Membership Rewards account. Card Members will need to redeem any remaining Membership Rewards points earned prior to Card cancellation.
      7. By choosing to have more than one American Express Card, the overall credit limit assigned to you will be split and assigned to each Basic Card Account that you maintain. You have the flexibility to change the limits assigned to each basic Card Account by contacting American Express upon approval of your new Credit Card application.

EMPLOYMENT DETAILS

CREDIT LIMIT

Would you like us to assign you a credit limit based on your application information?*
Yes
No
American Express will assign you a credit limit based on your application information.
If no, please enter your preferred credit limit:*
Nominating a specific credit limit will not reduce your chances of approval

Please note: In either option, American Express has the right to determine your maximum credit limit based on your application details, subject to the laws and regulations in Singapore. This will be an overall limit assigned between all your principal cards with American Express which may be lower than your preferred credit limit.