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Delight someone special Like cherished moments in life, the benefits and privileges of your UOB Card are best enjoyed when shared with those who matter most. Visit uob.com.sg/promotions for the full list of benefits and privileges.All spending on your UOB Supplementary Card earns you cash rebate or rewards. This means reaching your desired UOB Rewards faster than before — miles, shopping vouchers, dining treats and more!Your UOB Supplementary Card comes complete with:• No annual fee (for the first supplementary card)• Credit limit of your choice• Gift wrapping and delivery within 24 hours

BACK

General informationExpress Issuance in 24 hours^Fax the completed application form (with the required documents) to 6787 1531 by 1 pm and choose to receive the approved Supplementary Card via courier the next working day at a nominal fee of S$10.

Annual Fees

Terms and conditions:* This UOB Supplementary Card S$20 Grab Promotion ("Promotion") is only valid during the period from 1 February

2019 to 31 March 2019 (both dates inclusive) ("Promotion Period") and is only open to Principal Holders of a UOB Card who have: (a) within the Promotion Period submitted a successful application to have a Supplementary Holder of their UOB Card (“Application”), (b) such Application is approved by United Overseas Bank Limited (“UOB”) within the Promotion Period, and (c) the UOB Card issued to the Supplementary Holder pursuant to such approval, and provided that the Supplementary Holder under the Application is not an existing Principal Holder or Supplementary Holder of any UOB Card. The first 300 successful Principal Holders whose Supplementary Holder (approved under this Promotion) charges at least S$300 in eligible transactions to their supplementary UOB Card within 30 calendar days from the date the supplementary UOB Card is issued will each receive a single Grab voucher code worth S$20 which will be sent via SMS to the successful Principal Holder's registered mobile phone number with the bank by 30 June 2019.

^ Express Issuance: Your approved UOB Supplementary Card(s) will be couriered to the Principal Cardholder’s address as per the bank’s records. If the courier is unsuccessful, the credit card will be mailed out to the same address on the next business day. The courier service fee of S$10 will be charged to the Principal Card in the next card statement.

United Overseas Bank Limited Co. Reg. No.193500026Z

Apply now and charge a minimum of S$300 within the first month of card approval to receive S$20 worth of free Grab rides*.worth of free Grab rides

UOB Visa Infinite Metal Card

UOB Privilege Banking Card

UOB Lady’s Solitaire Metal Card

UOB Lady’s Solitaire Card

UOB PRVI Miles Credit Card

UOB Visa Signature CardUOB ONE Card, UOB YOLO Card, UOB Preferred Platinum Visa Card, UOB Lady’s Platinum Card, UOB UnionPay Platinum Card, Singtel-UOB Platinum Card, Metro-UOB Platinum CardUOB Delight CardUOB JCB Platinum Card

S$288. 1st Supplementary Card free for the first year.No annual fee for the first 2 Supplementary Cards with the 3rd Supplementary Card at $374.50No annual fee for the first 2 Supplementary Cards with the 3rd Supplementary Card at $288.00No annual fee for the first 2 Supplementary Cards with the 3rd Supplementary Card at $192.60No annual fee for the first 2 Supplementary Cards with the 3rd Supplementary Card at S$128.40S$107

S$96.30

S$53.50S$32.10

UOB Credit Cards 2nd Supplementary Card Annual Fee (Inclusive of GST) Give a gift

that keeps giving

Apply for a UOB Supplementary Card and enjoy S$20 worth of free Grab rides. T&Cs apply.

SCVe

r1.0

_Feb

2019

Foreigners• Copy of Passport (with at least 6 months validity)• Latest billing proof (within the last 6 months) as per your local home address (e.g. telephone or utilities bill etc)• Valid PassFor applicants below 18 years old, please submit letter of acceptance from the overseas institution.

r Yes, I would like to have my new supplementary card couriered to my mailing address next working day at a nominal fee of S$10.

United Overseas Bank Limited, UOB Cards & Payments, Robinson Road, P.O. Box 1688, Singapore 903338. Tel: 1800 222 2121. Website: uob.com.sg Company Reg No. 193500026Z

Note: Do ensure this application is duly completed and signed. Any incomplete application form and documents will result in delay in processing.

UOB SUPPLEMENTARY CARDMEMBERSHIP APPLICATION FORM

Contact No.

PRINCIPAL CARDMEMBER (All fields are mandatory)

NRIC/Passport/PR* No. For Singaporean, please provide NRIC no. only

Name of Principal Cardmember

Principal Card No. Please provide credit card no.

- - -

3 easy ways to apply:

Fax to 6787 1531 by 1pm for next working day courier.

EXPRESS ISSUANCE1

Mail it back to us

MAILEmail to Cards@uobgroup.com

EMAIL

FOR BANK USE

Source (CC) Promo (CC) Gift Remarks

ST ID Card Org/Type LR/MR/HR RR Nxt Rev DD

BW CIF Sup 1:Credit Limit Census (AI)

Freend Card Fee Dt

Branch(CC/CP) Review Code BC EXP Officer Name

ADDITIONAL SUPPLEMENTARY CARD APPLICANT’S INFORMATION (Applicable if Supplementary Card applicant is not a Singapore Citizen or Singapore Permanent Resident)

ADDITIONAL SUPPLEMENTARY CARD APPLICANT’S INFORMATION (Applicable if Supplementary Card applicant is not a Singapore Citizen or Singapore Permanent Resident)

DECLARATION (PLEASE READ BEFORE SIGNING)DECLARATION OF APPLICANT(S) (SSDA-V6.0-31082017)I/We hereby: 1. represent and warrant:-

a. that all information provided by me/us in this application and in any other document submitted to you is true, accurate and complete and if there is a change in the information provided or becomes inaccurate in any way, I/we shall promptly notify you of the change or inaccuracy; and

b. at the time of this application, I am/we are not an undischarged bankrupt and there has been no statutory demand served on me/us or any legal proceeding commenced against me/us.

2. acknowledge that you may choose to either approve or reject this application and I/we agree that you do not need to provide a reason for your approval or rejection.

3. confirm that I/we have obtained, read, understood and agree to be bound by the following (“Terms”):-a. UOB Cardmember Agreement;b. Terms and Conditions Governing Accounts and Services; andc. Terms and Conditions of UOB Personal Internet Banking and UOB Mobile Services;d. where applicable, NETS Terms and Conditions Governing the Use of NETS FlashPay;

4. agree:-a. you may review and change my credit limit at any time without prior notice to me/us;b. in addition to the modes and manner you may send notices and communications to me/us under the Terms, you may send notices and

communications to me/us in any mode and manner you deem appropriate to my/our last known address, facsimile, telephone/mobile phone number and/or electronic mail address in your records;

c. the card applied for in this application (“Card”) will be renewed upon its expiry without further reference to me/us unless the Card account(s) is terminated before that;

d. the Principal Cardmember is responsible for all liabilities (including liabilities incurred by all Supplementary Cardmembers, annual fees or any other fees/charges) and each Supplementary Cardmember is responsible for his/her liabilities incurred in respect of his/her card; and

e. if the card applied for in this application comes with a NETS FlashPay, Network for Electronic Transfer (Singapore) Private Limited (‘NETS’) is the holder and operator of the NETS FlashPay stored value facility.

5. consent and authorise you to conduct any credit check on me/us as you may require from time to time and to obtain, verify and/or disclose any information relating to me/us including information and details of the Card account(s) from or to the parties set out in the terms relating to your rights of disclosure under the Terms including any credit bureau and any person you deem appropriate or necessary for this application or as may be required by any applicable law;

6. I/We confirm that I/we have read and understood the Bank’s Privacy Notice (Individual) (available at uob.com.sg and the Bank’s branches) which forms part of the terms and conditions governing my/our relationship with the Bank. I/We consent to the Bank collecting, using, and disclosing my/our personal data for Basic Banking Purposes, Co-Branding Purpose, Research Purpose and Marketing Purpose as described in the Bank’s Privacy notice(Individual). I/We note that (a) I/we may withdraw consent for any or all of the purposes at any time; (b) if I/we withdraw consent for Basic Banking Purposes and/or Co-branding Purpose, the Bank may not be able to continue to provide the products and services to me/us; (c) if I/we withdraw consent for Research Purpose and Marketing Purpose, my/our personal data will not be used for these purposes unless I/we expressly and separately consent to the same again.

7. agree that, for UOB Delight Credit Card and Singtel UOB Platinum Card (each a “Co-brand Card”), all personal data provided by me/us in this application for the Co-Brand Card and information and details of my/our Co-Brand Card account(s) which may be issued to me and transactions made thereunder may be shared by you with the respective co-brand partner associated with the Co-Brand Card (“Co-Brand Partner”) to enable the Co-Brand Partner and its agents and authorised service providers to collect, use and disclose my/our personal data to any person the Co-Brand Partner deems appropriate or necessary for the purposes of:-a. processing this application and provide services associated with the Co-Brand Card account;b. offering, marketing or promoting any promotion or offer relating to the Co-Brand Card account;c. administering any benefit, privilege and term applicable to the Co-Brand Card account;d. offering, marketing or promoting any product and/or service provided by the Co-Brand Partner; ande. conducting research or analysis relating to any product and/or service provided by the Co-Brand Partner, whether conducted by the

Co-Brand Partner(s) or jointly with any other party. 8. acknowledge and agree that you and the Co-Brand Partner (if any) will be separately collecting, using and disclosing my/our personal data

and each party shall only be responsible for its own collection, use or disclosure of my/our personal data, and shall not be liable for the other party’s handling or use thereof. I/we agree to directly address any queries, access or correction requests, or complaints in relation to the handling of my/our personal data to the relevant party.

9. acknowledge and agree that this application and all documents submitted to you including all verification documents obtained by you shall belong to you and will be retained by you; and

10. confirm and agree that if this application and any supporting document are sent or are purported to be sent by me/us to you has been sent by fax and/or email, you are authorized by me/us, but are not obliged, to rely and act upon on the faxed and/or emailed copy sent by fax and/or email without the original and without any liability to me/us.

^ UOB Supplementary Card Preferred Credit Limit I/We hereby:-

(i) understand that notwithstanding that I/we have indicated a preferred credit limit for the supplementary credit card, UOB has the right to grant me/us a credit limit that is lower than what I/we have indicated in this application form;

(ii) understand that if no preferred credit limit for the supplementary card is selected, UOB has the right to assign the credit limit(s) at its discretion. I/we agree and consent to any credit limit assigned by UOB; and

(iii) acknowledge that the credit limit indicated in this application form is my/our preferred credit limit for the supplementary credit card stated in this application form.

• The preferred credit limit assigned cannot be higher than the existing aggregate credit limit for all the Principal Cardmember’s current Principal UOB Credit Card(s).

• The preferred credit limit indicated above will not be applicable to existing Supplementary Card, if any, not stated in this application form.# For new card applicants without UOB Personal Internet Banking and Mobile Services (“PIB/MBK”), the mobile phone number provided will be used for SMS-OTPs (One-Time Password), credit card security alerts, and authentication subscriptions. If you already have PIB/MBK, your new Card can be accessed with your existing PIB/MBK username and password. If your mobile phone number has since changed and you wish to have it updated, please complete a Change of Address/ Contact Details Form available at uob.com.sg.The Principal Cardmember warrants that the above information is true and correct and hereby requests and authorises the issue of the Card(s) as indicated herein: the issue of renewal and replacement Card(s); and the receipt and exchange of credit information with respect to the Principal Cardmember, each Supplementary applicant and his/her account. The Principal Cardmember is responsible for all liabilities ( including liabilities incurred by all Supplementary Cards, annual fees or any other fees/charges) and each Supplementary Cardmember is responsible for his/her liabilities incurred in respect to his/her card. The Principal Cardmember and each Supplementary applicant agree to be bound by the terms and conditions accompanying the Card(s) including Supplementary Card(s) and renewal and replacement Card(s) when issued.* Please delete where approriate.

Principal Cardmember Signature

Date

Supplementary Applicant Signature

Date

2nd Supplementary Applicant Signature

Date

Street/Building Name

Unit #

SPostal Code

Home Address (Do provide us with billing proof if home address differs from address in NRIC. For non-Singapore Citizen / non-Permanent Resident, billing proof is required. Please do not provide P.O. Box address.)

House/Block

Home Telephone Mandatory for card activation and One-Time-Password- SMS-OTP

Mobile Tel.No.#

Company NameOccupation

2ND SUPPLEMENTARY CARDMEMBER (All fields are mandatory)

Name to appear on Card, including surname (within 19 spaces)

Name as in NRIC/Passport/PR* (underline surname) r Mr r Ms r Dr Singapore PR r Yes r No

NRIC/Passport/PR* No. For Singaporean, please provide NRIC no. only

Nationality Country of Residence

Date of Birth (DDMMYYYY)

Passport Expiry Date (DDMMYYYY)For non-Singaporeans only

Relationship to Principal Applicant Gender r Maler Female

Type of Industry: r Tick here if self-employed

ID/Passport issuing country

Country you are currently residing in or intend to reside in for more than 1 year (e.g. Singapore)

: S$ (In multiples of S$500) r No preference for the Supplementary Card credit limit^ in this application

Supplementary Card Preferred Credit Limit^

Annual Income Range (SGD) [Kindly tick √against the checkbox]

r Less than 20,000r 20,000 - 39,999r 40,000 - 69,999

r 70,000 - 89,999r 90,000 - 119,999r 120,000 - 199,999

r 200,000 - 299,999r 300,000 and above

Street/Building Name

Unit #

SPostal Code

Home Address (Do provide us with billing proof if home address differs from address in NRIC. For non-Singapore Citizen / non-Permanent Resident, billing proof is required. Please do not provide P.O. Box address.)

House/Block

Home Telephone Mandatory for card activation and One-Time-Password- SMS-OTP

Mobile Tel.No.#

Company NameOccupation

No Annual Fee

Name to appear on Card, including surname (within 19 spaces)

Name as in NRIC/Passport/PR* (underline surname) r Mr r Ms r Dr Singapore PR r Yes r No

NRIC/Passport/PR* No. For Singaporean, please provide NRIC no. only

Nationality Country of Residence

Date of Birth (DDMMYYYY)

Passport Expiry Date (DDMMYYYY)For non-Singaporeans only

Relationship to Principal Applicant Gender r Maler Female

Type of Industry: r Tick here if self-employed

ID/Passport issuing country

Country you are currently residing in or intend to reside in for more than 1 year (e.g. Singapore)

: S$ (In multiples of S$500) r No preference for the Supplementary Card credit limit^ in this application

Supplementary Card Preferred Credit Limit^

Annual Income Range (SGD) [Kindly tick √against the checkbox]

r Less than 20,000r 20,000 - 39,999r 40,000 - 69,999

r 70,000 - 89,999r 90,000 - 119,999r 120,000 - 199,999

r 200,000 - 299,999r 300,000 and above

1ST SUPPLEMENTARY CARDMEMBER (All fields are mandatory)

Requirements:• Supplementary applicants must be at least 18 years of age. Mandatory documents for Supplementary Applicant: Singapore Citizen/Permanent Resident• Copy of NRIC (front and back)• Latest billing proof (within the last 6 months) as per your local home address (e.g. telephone or utilities

bill etc) if differs from address in NRIC

Do you hold a valid pass to live or work in Singapore? If “yes”, Please tick the type of pass that you are holding

r Employment Pass r S-Passr Work Permit

r Entre Passr Student Passr Dependent Pass

r Long-Term Social Visit Pass

Please submit a copy of the valid pass you have declared in this application (e.g. Employment Pass, S-Pass, Work Permit, Entre Pass, Student Pass, Dependent Pass, Long-Term Social Visit Pass).

Do you hold a valid pass to live or work in Singapore? If “yes”, Please tick the type of pass that you are holding

r Employment Pass r S-Passr Work Permit

r Entre Passr Student Passr Dependent Pass

r Long-Term Social Visit Pass

Please submit a copy of the valid pass you have declared in this application (e.g. Employment Pass, S-Pass, Work Permit, Entre Pass, Student Pass, Dependent Pass, Long-Term Social Visit Pass).

RCD/RC27 CPPW201830:TM

SC: 50019