AMEX Credit Card -
Get Instant e-Approval for Credit Cards
Step
2
of 2
Present Residential Address
Pincode
*
House Number & Street Name
*
Landmark & Area Locality
*
District & City*
*
State
*
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Present Office Address
Pincode
*
Office door number and street name
*
Office Landmark & Area Locality
*
District & City
*
State
*
Additional Information
Do you have an existing Loan/Credit Card?
*
Yes
No
Residence/Office Landline Number
(Optional if you have alternative mobile number)
Alternate Mobile Number
(Optional if you have residence/office landline number)
If you are an existing American Express Card member, Please enter your Credit/Charge Card Number
(optional)
Father's Name
Mother's Name
Occupation Type
Service
Others
Occupation Industry
Select Occupation Industry Type
Public Sector
Private Sector
Government Sector
Professional
Self Employed
By clicking on Continue, you consent to receiving communications including, but not limited to SMS, e-mails, phone calls from us with respect to your transaction on the website or for any other purpose.This consent will override any registration for DNC / NDNC. By submitting this application, I certify that I have read, met, and agreed to all of the terms, conditions and disclosures provided in the
Cardmember undertaking
. I request that an
American Express® Gold Card
account(s) be opened for me and for
American Express® Gold Card
to be issued as requested.
I / We confirm that I / supplementary card applicant/s is a Resident Indian as defined under the Income Tax Act of India and hereby declare that I/We will notify American Express Banking Corp. if there is a change in the residential status.
I authorize American Express® Banking Corp. (AEBC) to verify information in this application and to receive and exchange information about me including requesting reports from my bank, consumer credit, reference schemes or credit bureaus and CIBIL. I authorize AEBC and his affiliates to contact these sources for information at any time, to use information from this application and from consumer credit reports for marketing and administrative purpose and to share such information with each other; if and when the card is issued to me. I declare and undertake that the card issued to me, if used overseas shall be used strictly in accordance with the extant Exchange Control Regulations issued by the Reserve Bank of India(RBI).
In the event that I exceed my entitlements as per the Exchange Control Guidelines of the RBI, I undertake to bring the same immediately to the notice of AEBC, in writing. Obtaining any approval from RBI for excess foreign exchange spending shall be my responsibility.
I understand that the basic cardmember will be liable for all charges incurred on the basic card, any additional card and any supplementary card. The Supplementary Cardmember accepts joint and several responsibility for all charges incurred on the supplementary card issued to him/her.
I agree to be bound by the cardmember terms and conditions of use which will accompany the card. I confirm that American Express® has shared the Most Important Terms and Conditions (MITC) for the American Express® Gold Card with me in compliance of the RBI master circular on credit card operations of banks and I have read understood and accept the MITC and agree to sign this undertaking.
I understand that AEBC may decline this application at its absolute and sole discretion. We would like to assure you that American Express® strongly respects and honours customer privacy. If you wish to view the American Express® Privacy policy please log on to
Amex Privacy Policy
. I accept that the additional factor of authentication is mandated by RBI vide letter DPSS.PDCONO223/02.14.003/2011-12 dates August 4, 2011 and use such cards for travel and related CNP Transactions without such additional factor of authentication carries security risk and such cards are vulnerable to frauds.
I understand that in the event of changes in correspondence address due to relocation or any other reason, I will intimate my new address to the bank within two weeks of such a change. I understand that in the event of change in the address mentioned as per proof of address, I will submit fresh proof of address to the bank within a period of three months of such a change.
I Authorize American Express® Banking Corp. to use the information/details provided earlier for the purpose of processing my card application. I Confirm that the information/details provided earlier are true and correct as of date. This Application form is intended only for card members who were in receipt of the original solicitation email.
I provide my consent to be contacted on the email and mobile number shared by me, even if I am registered with the National Customer Preference Register (NCPR) and opted out of receiving all promotional calls and messages. I understand that my personal and sensitive information shall be used and shared by AEBC in accordance with its Privacy Policy as updated on the website. For details of Privacy Principles please log on to
amex
I understand and agree that the first payment made on my Amex card will be made via a Know Your Customer (KYC)-complied account as maintained by me with another Scheduled Commercial Bank in India. I also understand that in the event I make the first payment via cash towards my Amex Card, my card account will be permanently cancelled without any further notice and will not be eligible for reinstatement.
I have read and understood the terms and conditions mentioned herein,
CardMember Undertaking
and
Most Important Terms and Conditions
and understood the applicable fee and charges for the usage of Card. I understand that I am separately applying for American Express Gold Credit Card and issuance of one or both the cards is at sole discretion of American Express.
I authorize American Express Banking Corp. (AEBC) to approach the credit information company/ies for checking/obtaining my credit bureau score twice or more as maybe required by AEBC.
I understand that I shall be receiving two sets of communication/updates, one for each card application. The approval and delivery of the two cards may be at different times.
The American Express Gold Credit Card will be available free for life to me as long as I hold the American Express Gold Card. In case, American Express Gold Card is declined by AEBC or AEBC at its sole discretion cancels the American Express Gold Card, American Express Gold Credit Card may still be issued/retained to/by me, subject to the fee and charges as payable in accordance with the Most Important Terms and Conditions as available on
www.americanexpress.co.in
and as amended from time to time. I understand that as on the date of signing this form, the annual/renewal fee for the American Express Gold Credit Card is Rs. 2,000 per annum (plus Applicable Taxes). I understand that I am eligible to apply/maintain a maximum of two credit cards and one charge card product issued by American Express. In the event that I apply for more than two credit cards/1 charge card product(s), my application for such new card(s) may be declined.
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