ütwo forms of government ID (eg. Passport, Drivers Licence) üutility bill (for proof of address)
üjob letter and 2 consecutive and recent pay slips when you submit your application.
Please bring
Scotiabank Aero* Platinum Visa Card Application
Primary Applicant’s Information (Primary Cardholder):
Are you a Scotiabank customer?
Mr.
Mrs.
Last Name:
Ms.
Miss
# of Dependents: |
Address: # |
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Marital Status:
Residential Status
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# of Children: |
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Your Date of Birth: | D | D | M | M | Y | Y |
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Married
Own
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Rent
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State: |
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Country: |
Current Employer: |
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Self employed
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Passport/National ID #: |
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| City: |
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Other ID (Tax ID/Social Security) |
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Home Phone #: |
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Part-time
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ScotiaCard #: |
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Postal Code (if applicable): |
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Cell Phone #: |
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| Months
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Citizenship Country |
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| City: |
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Postal Code (if applicable): |
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Occupation: |
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| Employer Address |
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Other Monthly mortgage/rent payment? $ | | | | | | Time at current Residence: | | |Years | | | Months
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Full-time
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Living with Parents
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Previous Address: # |
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Widow(er)
If less than 2 years, time at previous Residence: |
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Country: |
Divorced
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Single
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If yes, Account #: |
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No
First Name: |
Please print last name in full
(must not exceed 19 spaces).
Mother’s Maiden Name: |
State: |
Yes
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Time with Employer: |
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| Years |
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| Months Business Phone #: | | | | | | | | | |
If less than 2 years, time with previous Employer: | | | Years | | | Months
Previous Employer: |
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Time with Previous Employer: |
Other Income Source: |
Monthly Pymt: $|
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Yes
No
Other Credit Card?
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Yes
Other assets:
Savings / Deposit Account
Other assets:
Property
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Passport # |
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Yes
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Lender Name (if any): |
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Yes
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State: |
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Home Phone #: |
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Yes
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Phone Number |
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Lender: |
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No
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Monthly Pymt: $|
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Amount: $|
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Monthly Pymt: $|
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Monthly Pymt: $|
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Monthly Pymt: $|
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Balance: $|
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Lender Name (if any): |
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Investments /Stocks Value: $ |
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| Other ID (specify) | | | | | | | | | | | | | Language:
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| Street: |
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Initial: | | Last Name: |
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(Mother’s Maiden Name or
| School
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Primary
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| City: |
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Employer: |
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Will this Credit Card be used to conduct transactions for anyone other than the authorised Cardholder(s)?
Optional Scotiabank Visa Credit Protection Coverage:
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English
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Spanish
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Country of Birth: |
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| Address Since : | Y | Y | Y | Y | M | M | Citizenship Country: |
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Domicile Country | | | | | | | | | | | | | |
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Country: |
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Occupation or Nature of principal business: |
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Yes
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No Have you ever had a judgment filed against you?
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| Other Monthly Income: $ |
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Amount: $|
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No
Divorced
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Married
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Widow(er) Other Identification
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Marital Status:
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Address: # |
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Date of Birth: | D | D | M | M | Y | Y | City of Birth: |
Single
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No Lawsuits or claims?
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Balance: $ |
Value: $|
Supplementary Cardholder?
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No
No Lender Name: |
Car Value: $|
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Bankrupt in the last 7 years?
Other assets:
First Name: |
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| Months Current Monthly Employment Income: $ |
Lender Name: |
Yes
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Existing Mortgage on Home (if applicable): $ |
Do you have any loans with Scotiabank?
Other Lender?
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Female
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Postal Code (if applicable): |
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Male
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| Employer Phone # | | | | | | | | | |
Relationship to the Primary Cardholder?: |
Yes
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Sex:
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No. If yes, please complete a Third Party Declaration Form.
Yes, I would like to insure my Scotiabank Credit Card account balance for Single Coverage:
I understand that to be eligible for coverage, I must be over 18 years of age and under 70 years of age to enroll and that coverage will be bound by the Terms and Conditions stated in the Scotiabank Credit
Protection Certificate. Furthermore, I authorise Scotiabank to provide the insurer with my Scotiabank Credit Card account number, monthly statement balance and any other necessary information. I authorise the
insurer to charge monthly premiums to my Scotiabank Credit Card account.
| D | D | M | M | Y | Y || Y |
Applicant’s (Primary Cardholder’s) Signature
Date
| D | D | M | M | Y | Y || Y |
Supplementary Cardholder’s Signature
(if requesting)
Date
Terms & Conditions
In this form “you” and “your” mean the Primary Cardholder and Supplementary Cardholder(s) (as applicable) who are providing personal information to
Scotiabank.“Primary Cardholder” means the individual primary applicant under this application form. “Supplementary Cardholder” means the additional individual
you name and authorise on your Scotiabank AERO Platinum Visa card account cardholder(s).“We”, “our”, “us”, “Scotiabank” and “the Bank” mean Scotiabank
Trinidad & Tobago Limited.“Scotiabank Group” means collectively Scotiabank Trinidad & Tobago Limited and its parent company, The Bank of Nova Scotia and all
of its subsidiaries and affiliates.“Scotiabank Group Member” means The Bank of Nova Scotia and any one of its affiliates or subsidiaries.
By signing this application form:
If this application is accepted by us, you request the Scotiabank Aero Platinum Visa and Scotiabank Credit Card Cheques be issued to the Primary Cardholder and,
if applicable, to the Supplementary Cardholder(s) designated above. You hereby authorise and consent to us obtaining further information about you and to
checking from time to time the information you have given here and exchanging, collecting, and disclosing information about you with other credit reporting
agencies, credit bureaus, other credit grantors, any person you have or propose to have financial relations with, and as otherwise permitted or required by law,
and agree that the Bank may do this both during and after our banking relationship has ended.
You authorise us to collect further information about you from time to time in connection with any banking relationship you are applying for, will apply for, or
already have with the Bank.
You authorise us to use your personal and financial information to adjudicate and administer the products and services you have requested and you agree that we
may do this during your banking relationship with us.
You authorise us to tell you about Scotiabank Group products and services, and to disclose information about you to other Scotiabank Group Members (where the
law allows this) so that they may directly offer you their products and services both during and after your banking relationship with us has ended.
You authorise us to check the information you have given us from time to time. You authorise and direct any person that we may contact in this regard to provide
us with such information.
You acknowledge and agree that we may use third party service providers to process or handle your personal and financial information on our behalf and that
some of our service providers may be located outside of Trinidad and Tobago. As a result, your personal and financial information may be accessible to regulatory
authorities in accordance with the laws of these jurisdictions. When personal and financial information is provided to our service providers, we will require them
to protect the information in a manner that is consistent with Scotiabank’s Privacy Policy and procedures.
You authorise us to release information we hold about you to any prospective purchaser if we sell a company in the Scotiabank Group or a portion of the business
of a Scotiabank Group Member.
You agree to read and be bound by the Scotiabank Credit Cardholder Agreement accompanying the credit card(s). You understand that your signature on or
your use or retention of the credit card and/or the Scotia credit card cheques shall evidence your receipt of the Scotiabank Credit Cardholder Agreement. You
authorise the Bank to debit your Scotiabank Credit Card account with the amount of the annual fees in effect from time to time for the Card.
You understand and agree that the Primary Cardholder is solely liable for all charges incurred on the account by a Supplementary Cardholder.
You agree that: (i) eligibility for ScotiaPoints is subject to the Scotiabank AERO Rewards Program Terms and Conditions; (ii) you will be bound by Scotiabank AERO
Rewards Program Terms and Conditions as amended and replaced from time to time; and (iii) ScotiaPoints will be awarded only if your credit card account is in
good standing on each monthly statement date. The Supplementary Cardholder(s) acknowledge and agree that they will not be enrolled in the Scotiabank AERO
Rewards Program as a result of this application and all ScotiaPoints earned will be credited to the Primary Cardholder.
You, hereby certify the above information to be true, correct and complete. If any statement contained in this application is not true, we may cancel your credit
card and request immediate repayment of all money owing under the credit card account.
You acknowledge that before this application can be accepted by us, you must attend at a Scotiabank branch and provide satisfactory proof of identity.
You understand and agree that the Primary Cardholder is solely liable for all charges incurred on the account by a Supplementary Cardholder.
You confirm that you have read and understood the above terms and conditions and disclosure sections before signing this application form.
Eligibility:
The 5,000 bonus ScotiaPoints offer is open to legal residents of Trinidad and Tobago, 18 years of age or older. To qualify for the bonus offer of 5,000 ScotiaPoints all
applications must be submitted and approved, and a first purchase charged to the card. The bonus offer will be awarded after the cardholder has made their his/
her first purchase. The bonus ScotiaPoints bonus will appear as ‘Bonus Offer’ on the Scotiabank AERO Platinum Visa credit card statement account and may
take up to 8 weeks to appear on the cardholders’s statement. The bonus offer will be awarded to the Primary Cardholder only. The bonus offer is awarded only
once per customer. The bonus offer may be changed, extended or withdrawn at any time without notice. The bonus offer cannot be used in conjunction with
any other offer.
ScotiaPoints are only earned on purchases; ScotiaPoints are not earned on cash advances, interest charges, fees or credits.
* Subject to meeting Scotiabank’s credit granting requirements and credit approval.
For all insurance coverages, certain limitations, restrictions and exclusions may apply. You will receive Certificates of Insurance containing full descriptions of the coverage.