Credit Limit Increase Application Form
Please complete this application in full and return it in the reply-paid envelope
(GPO Box 3684, Sydney NSW 2001) or fax it to us on (02) 9271 3444.
Are you eligible? Make sure you can tick these boxes to indicate ‘yes’ before proceeding.
I have maintained a good credit history for more than 9 months on all my accounts.
I have not had a credit limit increase in the past 6 months.
I have had my David Jones American Express Credit Card for at least 7 months.
I wish to increase my current credit limit from $ ,
,
to a new credit limit of $ ,
,
Reason for Increase (Please Note: You will only be eligible for a line increase once every six-month period) SECTION A – personal details
SECTION B – Professional details (Cont’d)
Your American Express Card Number (You MUST provide Card details)
3 7 – Title (Please √ tick as applicable) Mr
– Miss
Mrs
Ms
D D M M Y Y Unit No.
Driver’s Licence No.
Street No.
Street Name
Suburb
Accountant’s Telephone No. ( 0 ) – ,
,
Bank account funds $ ,
,
Market value of home
$ ,
,
Market value of other property
$ ,
,
Market value of other investments
$ ,
,
SECTION D – expenses
Expenses
State
SECTION C – Assets
Current Residential Address (Please do not provide a PO Box No.)
$ Date of Birth (You must be over 18 years to apply)
Must attach proof of income, ie, Recent Payslips or Tax Return
Given Names
Your Annual Income Before Tax
Dr
Surname
Name of Accountant (If Self-Employed) Postcode
Home Telephone No.
Mobile Telephone No.
) – Home Loan Balance
$
Monthly Repayments of Other Loans (eg. car loans,
personal loans, investment property mortgages)
$
Total Balance outstanding for Other Loans (eg. car loans,
personal loans, investment property mortgages)
$
Y Y Years M M Months
Period of time at Current Address
$
$
Loans and Liabilities
) – ( 0 Work Telephone No.
Household expenses excluding housing (monthly)
( 0 Household rent / mortgage / board (monthly)
Residential Status (Please √ tick as applicable)
Owned Outright
Board/Living with parents
Rent
Mortgage
Section E – authorisation
Please read the following before signing:
Section B – Professional Details
Current Occupation
Name of Employer (Company name if Self-Employed)
Signature of Basic Applicant
Employer’s Address
I understand that the current interest rate applicable to my Credit Card will apply to any increased
balances that result from this limit increase. I also understand that my continued use of the David Jones
American Express Card is governed by the Interest Rate Policy and the David Jones American Express
Cardmember Agreement as issued to me upon application for the Credit Card and as amended from
time to time. I accept that the conditions of this increase are based on my Credit Card Account being
in good standing at the time of my application being received at American Express. I acknowledge that,
taking into consideration my current financial position, I have a continuing capacity to repay based on
the increased limit.
Date
( 0 ) – Time with Employer Y Y Years M M Months
D D M M Y Y
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Employer’s Telephone No. (We may need to contact your employer to confirm your details and income)
DECLARATION
Important: The Primary Card Applicant must read this information and sign overleaf.
To American Express Australia Limited: I hereby apply for an
increase in my American Express Credit Card limit, and I certify that
the information given above in support of my application is true and
correct. I acknowledge that you will verify the above information.
If approved, I agree to comply with the terms and conditions which
accompany the David Jones American Express® Card and I declare that:
•If I reside in the ACT, I will provide further financial information,
if required, prior to my application being assessed;
•I am financially solvent, and am able to pay all my debts as they
fall due.
Authority to American Express and David Jones under the
Privacy Act 1988:
To assess this application, and if it is approved, to establish and
manage the Card account, you understand American Express and
David Jones need to:
•collect your personal information from this application and from
other sources; and
•obtain your agreement in relation to the handling of your personal
information.
If you do not provide the information requested in the application or
do not agree to the matters set out in this declaration, American Express
may decline your application or may be unable to provide you with
certain benefits associated with the credit account.
The Joint American Express and David Jones Privacy Notice
(included in the terms and conditions for this Card account) sets
out our policies on the management of personal information. In
accordance with the Privacy Act 1988, any person may access
their personal information held by us, and advise if they think it is
inaccurate, incomplete or out of date.
To arrange access to personal information, request a copy of the
Joint American Express and David Jones Privacy Notice or enquire
about privacy matters write to The Privacy Officer, American Express,
GPO Box 1582, Sydney NSW 2001.
Collection, use and disclosure of credit information by
American Express:
American Express may obtain credit reports about you from a
credit reporting agency to assess your application, to collect overdue
payments from you, or for any other use in connection with your
credit account as permitted under the Privacy Act 1988, and obtain
personal information about you from a business which provides
creditworthiness information. American Express may disclose
information about you to credit reporting agencies before, during or
after credit is provided to you. This includes:
•the fact that you have applied for a Card account and the credit
limit, and that American Express is a credit provider to you;
•advice about Card payments that are at least 60 days overdue
and in collection (and advice that payments are no longer
overdue);
•advice that cheques drawn by you, or Direct Debit requests
which you have authorised American Express to make (greater
than $100) have been dishonoured more than once;
•American Express’s opinion that you do not intend to meet your
credit obligations or have committed another serious credit
infringement; and
•that credit provided to you has been paid or otherwise discharged.
American Express may exchange information about you with credit
providers named in your application or in a credit report issued by a
credit reporting agency. Amongst other things, this is to:
•assess your creditworthiness in this and future applications for
credit;
•notify other credit providers of a default by you;
•exchange information about your credit account when you are in
default with other credit providers;
•complete any approval process as to any transactions you wish
to make on your credit account; and
•administer your account.
Collection, use and disclosure of personal information by
American Express and David Jones for the purpose of assessing
this application American Express and David Jones will collect
personal information about you in a number of ways, including
from you and people named in your credit application (eg, your
employer) and we may share your personal information with each
other and with:
•persons (eg, Supplementary Cardmembers) you authorise to use
or access your credit account;
•persons named in your application (eg, to confirm employment
and income details);
•service providers who provide services related to your credit
account (eg, Card manufacturers, collection agents and mail
houses); and
•other organisations, including government and regulatory bodies,
as required or authorised by law.
American Express may also monitor and record your telephone
conversations with us for staff training and service quality control
purposes and may transfer your personal information to the United
States or other countries for data processing and servicing.
Contact David Jones American Express Customer Service
for Card enquiries on 1300 36 89 89
davidjones.com.au
Credit provided by American Express Australia Limited (ABN 92 108 952 085)
® Registered Trademark of American Express Company
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