year chf 250, application

9
Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch Application Important: all information is mandatory in order to issue the card and activate all the benefits of the card. Occupation/Financial information Employee Self-employed Retired In training Business area Occupation/position Employer since Telephone Address Gross annual income Home Rent Own Annual rent/home loan CHF LSV +/ Debit Direct For payments made directly via your Bank 2. 1 st year CHF 250, from the 2 nd year CHF 500. Yes, I hereby request the following Cornèrcard: Cornèrcard Platinum Thanks to the Cornèrcard Cashback program, you can collect 1,5 % cashback on every purchase. (Only available for the card in CHF). All the information and the conditions of participation can be found at cornercard.ch/cashback Personal information on the principal card applicant My name is to appear on the card as follows (First name/Last name): (max. 20 characters incl. spaces; no umlauts/accents) Mr Ms Correspondence in G F I Last name First name Street/No. ZIP code/Place Address since Nationality Date of birth Place of birth Telephone (home) Mobile telephone E-mail For the Security Check: notification if card misuse is suspected and for online shopping Number of minor children Civil status For foreign nationals: Residence permit C B L Please enclose a copy of an official identification document; for foreign nationals, please enclose a copy of the residence permit. Tax Residence: The only tax residence coincides with the country of residence mentioned above yes no (in case of multiple tax residences select «no») If no, please indicate all countries of tax residence: 1. E Platinum/E 01.2021 1/5

Upload: others

Post on 19-Jan-2022

0 views

Category:

Documents


0 download

TRANSCRIPT

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Application

Important: all information is mandatory in order to issue the card and activate all the benefits of the card.

Occupation/Financial information

Employee Self-employed Retired In training

Business area Occupation/position

Employer since

Telephone Address

Gross annual income

Home Rent Own

Annual rent/home loan CHF LSV +/ Debit DirectFor payments made directly via your Bank

The applicant understands that the card issuer reserves the right, for reasons of credit rating, to issue a prepaid card instead of the requested credit card.

2.

1st year CHF 250, from the 2nd year CHF 500.

Yes, I hereby request the following Cornèrcard:

Cornèrcard Platinum

Thanks to the Cornèrcard Cashback program, you can collect 1,5 % cashback on every purchase. (Only available for the card in CHF).

All the information and the conditions of participation can be found at cornercard.ch/cashback

Personal information on the principal card applicant

My name is to appear on the card as follows (First name/Last name): (max. 20 characters incl. spaces; no umlauts/accents)

Mr Ms Correspondence in G F I

Last name First name

Street/No. ZIP code/Place

Address since Nationality

Date of birth Place of birth Telephone (home)

Mobile telephone E-mailFor the Security Check: notification if card misuse is suspected and for online shopping

Number of minor children Civil status

For foreign nationals: Residence permit C B LPlease enclose a copy of an official identification document; for foreign nationals, please enclose a copy of the residence permit.

Tax Residence: The only tax residence coincides with the country of residence mentioned above yes no (in case of multiple tax residences select «no»)

If no, please indicate all countries of tax residence:

1.

E

Pla

tinum

/E

01.2

021

1/

5

CHF 09/537/CQ3531/07/CQ3

EUR 09/538/CQ4546/07/CQ4

USD09/539/CQ5

SC: I1341SC: MCBGII21OA01-00012

SC: I1342SC: MCBGII21OA04-00019

SC: I1343SC: MCBGII21OA04-00020582/07/CQ5

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Apply for up to three free of charge Cornèrcard Gold additional cards in CHF. As part of its global limit, you can establish an individual spending limit for each additional card.Important: available only if the principal cardholder applies for a Platinum card in CHF.

Personal information on the additional card applicant

My name is to appear on the card as follows (First name/Last name): (max. 20 characters incl. spaces; no umlauts/accents)

Mr Ms

Last name First name

Street/No. ZIP code/Place

Date of birth Place of birth Nationality

Mobile telephone E-mailFor the Security Check: notification if card misuse is suspected and for online shopping

For foreign nationals: Residence permit C B L OccupationPlease enclose a copy of an official identification document; for foreign nationals, please enclose a copy of the residence permit.

The spending limit of the additional card is the same as the one of the principal card whose cardholder is fully liable for any and all transactions made using the additional card. To reduce the spending limit, simply download the form available at cornercard.ch/d /limits.pdf, complete it, and send it to Cornèrcard.

Yes, I hereby request a Cornèrcard Gold additional card for the following person.

Desired spending limit for the additional cardIf no spending limit is defined for the additional card, the spending limit of the principal card will apply

Personal information on the additional card applicant 1

Personal information on the additional card applicant

My name is to appear on the card as follows (First name/Last name): (max. 20 characters incl. spaces; no umlauts/accents)

Mr Ms

Last name First name

Street/No. ZIP code/Place

Date of birth Place of birth Nationality

Mobile telephone E-mailFor the Security Check: notification if card misuse is suspected and for online shopping

For foreign nationals: Residence permit C B L OccupationPlease enclose a copy of an official identification document; for foreign nationals, please enclose a copy of the residence permit.

The spending limit of the additional card is the same as the one of the principal card whose cardholder is fully liable for any and all transactions made using the additional card. To reduce the spending limit, simply download the form available at cornercard.ch/d /limits.pdf, complete it, and send it to Cornèrcard.

Yes, I hereby request a Cornèrcard Gold additional card for the following person.

Desired spending limit for the additional cardIf no spending limit is defined for the additional card, the spending limit of the principal card will apply

Personal information on the additional card applicant 2

Personal information on the additional card applicant

My name is to appear on the card as follows (First name/Last name): (max. 20 characters incl. spaces; no umlauts/accents)

Mr Ms

Last name First name

Street/No. ZIP code/Place

Date of birth Place of birth Nationality

Mobile telephone E-mailFor the Security Check: notification if card misuse is suspected and for online shopping

For foreign nationals: Residence permit C B L OccupationPlease enclose a copy of an official identification document; for foreign nationals, please enclose a copy of the residence permit.

The spending limit of the additional card is the same as the one of the principal card whose cardholder is fully liable for any and all transactions made using the additional card. To reduce the spending limit, simply download the form available at cornercard.ch/d /limits.pdf, complete it, and send it to Cornèrcard.

Yes, I hereby request a Cornèrcard Gold additional card for the following person.

Desired spending limit for the additional cardIf no spending limit is defined for the additional card, the spending limit of the principal card will apply

Personal information on the additional card applicant 3

Additional card3.

Cornèrcard Cashback: 1 % (cornercard.ch/cashback)

Pla

tinum

/E

01.2

021

2/

5

Corn¯rcard Gold01/001/A33 SC: I1368111/08/A33 SC: MCBGII21OA03-00005

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Additional services for the additional card can be requested at cornercard.ch

Additional services

free and includediCornèr, the free Cornèrcard client portal – Registration at icorner.ch– Card and data management with a click of the mouse and secure purchases online– Required to activate electronic monthly statements

free and includedApplication for Travel Insurance (family coverage)Worldwide for an unlimited number of trips per year. Insurance coverage and maximum benefit per event:– Cancellation expenses, travel interruption and travel assistance: CHF 60,000– Travel delay: CHF 5,000– Baggage: CHF 15,000– Treatment expenses and medical assistance: CHF 1,500,000– Deductible coverage for car rentals (CDW): CHF 10,000

free and includedApplication for Travel Accident Advantage (family coverage)Insurance coverage: in the event of permanent disability or death for accidents during the entire duration of the tripMaximum amounts insured: CHF 1,000,000Annual premium: 1st year CHF 45 instead of CHF 60 (expires 31.12.2021)

free and includedApplication for Extended Warranty for Electrical and Electronic AppliancesInsurance coverage: two-year extended warranty for electrical and electronic appliancesMaximum amount insured: CHF 6,000 per claim and per year

V19SCAOCA

ScanProtectScanProtect gives you access to Darknet Monitoring, a protection portal with comprehensive insurance coverage against cybercrime. Maximum insurance coverage: in the event of personal injury on the Internet (CHF 20,000), damage due to loss of personal data (CHF 20,000), psychological support in the event of mobbing (CHF 3,000), legal protection in case of disputes on the Internet (350,000) and data restoration (CHF 5,000).– Individual coverage: CHF 80– Family coverage: CHF 99

4.

SC: C1046/18-MM02

To earn award miles with your Cornèrcard Miles & More Credit Card you have to be a member of the Miles & More program.

Yes, I am a Miles & More member: My Miles & More service card number (15 digits):

My current status Miles & More: Miles & More Member Frequent Traveller Senator HON Circle MemberPlease enclose a copy of your current Miles & More card. If you do not specify a Miles & More service card number, a Miles & More account will automatically be opened for you (Principal Cardholder/Applicant). Should any information be missing, you may need to register for the Miles & More program a second time. If you have forgotten your Miles & More Service Card number, please contact the Miles & More Service Team at +41 900 85 00 00.

No, I’m not a Miles & More member.

Please enroll me. I hereby agree that Cornèr Banca SA may transfer the data relevant in particular for the enrolment to the Miles & More Program to Miles & More GmbH and Deutsche Lufthansa AG for the purpose of administering the Miles & More Program

Herewith I agree with Miles & More Terms & Conditions and Miles & More Data Protection Regulations (www.miles-and-more.com/en/conditions) (www.miles-and-more.com/privacy-statement). (data mandatory)

Miles & More would like to keep you informed about relevant topics:Yes, I wish to receive information and offers in connection with my membership of the Miles & More programme and consent to Miles & More GmbH and Deutsche Lufthansa AG contacting me for this purpose via electronic communication services (e.g. by e-mail, SMS/MMS and messenger services and telephone) – also on a personalised basis – and identifying my main areas of interest for the purpose of receiving personalised offers on the basis of data collected about me including my usage and consumer behaviour (e.g. by the use of cookies, web beacons, program data and booking data). Yes, I wish to receive information and offers (e.g. customer satisfaction surveys, personalised offers and newsletters) including partner information [https://www.lufthansa.com/xx/en/Lufthansa-ID#partner] from Deutsche Lufthansa AG, Austrian Airlines AG and Swiss International Air Lines AG. I consent to - the Lufthansa Group contacting me via electronic communication services (e-mail, SMS/MMS, messenger services, telephone) for this purpose (also on an individual basis) and - I also consent to the use of my personal data, which has been collected by companies belonging to the Lufthansa Group [www.miles-and-more.com/joint-partner], including my usage and

consumer behaviour (e.g. by the use of cookies, web beacons, program data and booking data), in order to identify my main areas of interest for the purpose of receiving customised information and offers.

I can fi nd detailed information about the content and scope of the processing of my data and the content of communications and offers in the Privacy Policy [www.miles-and-more.com/privacy-statement].Miles & More newsletters – Information on your account balance, early reminders about mileage expiry and up-to-date programme information at a glance Miles & More offers – Regular information about current offers from Miles & More and its partner companiesMarket research – Your opinions about Miles & More and your interests in earning and redeeming miles I can edit my communication settings at any time in my customer profi le on www.miles-and-more.com, and/or withdraw and/or restrict my consent in full or in part (e.g. by telephone at the Miles & More Service Centre). In addition, I can deactivate push notifi cations to mobile end devices in the respective Miles & More app. Miles & More GmbH and Deutsche Lufthansa AG can send me legally relevant information about the Miles & More programme (such as changes to the Terms and Conditions of Participation), irrespective of whether I have given or withdrawn my consent. If I do not give my consent, I will not receive information from Miles & More GmbH and Lufthansa Group Airlines [www.miles-and-more.com/joint-partner]. I can fi nd out about my mileage balance myself (including early reminders about mileage expiry) in my customer profi le on www.miles-and-more.com.

Yes, I would like to receive a free of charge Diners Club Miles & More card *. Important: fill in the following point.

* This offer applies as long as you hold both cards.

Diners Club Miles & More card5.

Pla

tinum

/E

01.2

021

3/

5

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Concierge Service: An external partner, currently Quintessentially Concierge S.R.L., 20122 Milan, Italy, provides, on behalf of Cornèr Bank Ltd., a concierge service in Switzerland and abroad (e.g. ticket orders, travel and event arrangement, hotel and restaurant reservations, support in emergency situations). The name of the external partner as well as any further information regarding the concierge service can be requested at any time from Cornèr Bank Ltd. on +41 058 880 99 11. I expressly accept that Cornèr Bank Ltd. provides the external partner with my personal data (such as name, surname, date of birth, e-mail address, mobile phone number). The external partner requires this information and other information provided by the undersigned in order to fulfill its obligations. I further accept that the external partnermay engage the services of third parties in Switzerland and abroad in order to perform its duties, and agree in particular that these third parties shall be given access to my data insofar as this is necessary for the diligent performance of the duties concerned. I am aware that any data sent abroad is no longer protected by Swiss law. The exchange of personal data between Cornèr Bank Ltd. and the external partner is performed in full respect of legal and regulatory obligations applicable in Switzerland, with it being understood that my data are protected at all times from unlawful access by unauthorized third parties. However, I understand that my personal data may, in connection with the performance of the ordered service, be sent to countries where there is no data protection legislation in force comparable to that in Switzerland. I have the right to revoke this declaration of consent at any time in writing. This will cause the concierge service to be canceled automatically. Alternatively, I have the right to revoke this declaration of consent at any time by renouncing the card, cutting it up, and returning it to Cornèr Bank Ltd. This will also cause the concierge service to be canceled automatically. If the card is canceled in writing, the concierge service will end. Version 01.2020

Priority Pass™: Authorization: I additionally authorize Cornèr Bank Ltd. to share my personal information (last name/first name) with Priority Pass Ltd., London (UK) in order to facilitate the issuance of my Priority Pass™ (access to VIP lounges around the globe). If the card is canceled in writing, the Priority Pass™ shall end with the expiration of the card. Version 01.2020

Concierge Service and Priority Pass™10.

We hereby confi rm that the information provided in this application for a credit card (main card and, to the extent applicable, additional card) or a prepaid and rechargeable card is correct and authorize Cornèr Bank Ltd. (hereinafter referred to as the “Bank”) to obtain from third parties, in particular from the Central Offi ce for Credit Information (Zentralstelle für Kreditinformation [ZEK]) and public bodies (for example debt enforcement authorities, tax offi ces, and residents’ registration offi ces), credit reference agencies, employers, and other suitable sources of information provided by law (for example Informationsstelle für Konsumkredit [IKO] [Consumer Credit Information Offi ce]) any information that may be required for checking the particulars provided by us above or for the purpose of processing our application, issuing card(s), or for contract management. We also authorize the Bank to notify the ZEK in cases where our card is blocked or used fraudulently or we are in signifi cant arrears of payment or in any similar circumstances. We hereby authorize the Bank to decline this application at its discretion without giving any reason. On acceptance of this card application, we will receive the cards requested, a copy of this application and the credit option agreement, the General Terms and Conditions (GTC) for our Visa and Mastercard credit and prepaid cards, as well as our unique PIN. The GTC can be accessed or ordered at any time at cornercard.ch/e/gtc (Visa/Mastercard) and dinersclub.ch/e/gtc (Diners Club) or by calling +41 91 800 41 41. All legal relations with the Bank will be governed by and construed in accordance with Swiss law. Lugano will be the place of performance, the place of debt enforcement for Cardholders resident abroad, and the exclusive place of jurisdiction for all disputes, subject to mandatory provisions of Swiss law. By using and/or signing the card, we confi rm that we have received and understood the GTC of the Bank and, to the extent relevant, the General Terms of Insurance (GTI) and that we accept all the applicable terms. Charges, interest rates, and fees: Information on charges, interest rates, and fees for the use and administration of the card is contained in a schedule of “Charges, Interest Rates, and Fees”. This may be accessed at any time by visiting cornercard.ch/e/prices (Visa/Mastercard) or dinersclub.ch/e/prices (Diners Club) or by telephoning +41 91 800 41 41 (Visa/Mastercard) or +41 58 880 88 00 (Diners Club). In addition, we may be billed for any third-party charges and any costs incurred by us. We hereby certify that we accept without reservation said charges, interest rates, and fees. Should we apply for a further Cornèrcard product or wish to switch to a different product, the particular annual subscription fee or enrollment charge pertaining to such product will apply, and can also be accessed or requested via the above-mentioned contact details. Exchange rates: All purchases made in foreign currency will be converted at the retail exchange rate of the Bank (Visa/Mastercard) or Diners Club International (Diners Club) on the booking date, and are subject to an administration fee. Electronic communication: The Bank is authorized to send notifi cations and offers of a general nature and specifi c information, including push notifi cations (i.e. notifi cations which appear on our device set up for this purpose [for example, smartphone, tablet, smartwatch] without opening the relevant app) relating to the card and the transactions carried out with it, to the electronic contact details provided by us (mobile phone number, e-mail address, postal address, etc.). Authorization to process data and to pass on data to third parties: The Bank is entitled to commission partner companies in Switzerland or abroad, in particular affi liated companies of Cornèr Bank Group with seat in the European Union to perform all or part of the services pertaining to the contractual relationship, including reward and loyalty programs (e.g. application reviews, card manufacture, card issuance, contract management, online services, payment collections, client communications, credit risk calculations, fraud prevention, charge-back procedures, payment processing, IT) and for the improvement of the risk models used in granting credit limits and fraud prevention. We authorize the Bank to provide these third parties with the data necessary for the diligent performance of the tasks assigned to them and, if required, to transmit this data abroad for this purpose. In doing so, the Bank may also pass on personal data of the cardholder(s) to such partner companies for the processing purposes specifi ed in the Privacy Notice (clause 3 – cornercard.ch/dataprotection). The processing of such personal data is carried out in full compliance with the applicable data protection regulations, namely the Swiss Data Protection Act (DPA) and the European General Data Protection Regulation (GDPR). Personal data is stored in electronic form and/or paper form. We authorize the Bank to store, process, use, and analyze data pertaining to our contract and transactions for the purpose of creating customer profi les, and to process this data for marketing and market research purposes. This enables us to benefi t from personalized advice and to receive tailored offers from the Bank as well as information on the Bank’s own products and services sent by post, e-mail, or mobile phone (SMS). Further information on the data protection policy and our rights under the Data Protection Act can be found at cornercard.ch/dataprotection. As the principal cardholder, I authorize the additional cardholder, who has his/her own income (with his/her own spending limit and monthly statements), to independently apply for optional insurance or Securicard for his/her own card at any time. Version 11.2020

Declaration and process data9.

In accordance with Article 27 of the Agreement on the Swiss banks’ code of conduct with regard to the exercise of due diligence (CDB 20), I, the principal card applicant, declare that:

– (for credit cards) the money used to settle monthly statements for the principal card and any additional card and/or any other money paid to the card issuer above the settlement amount (please check the appropriate box):

or

– (for prepaid cards) the money due for card usage and paid to the card issuer for that purpose (please check the appropriate box):

belongs to the principal card applicant (credit or prepaid card)

belongs to the principal card applicant (credit card) and the additional card applicant

belongs to the following person(s):(please provide the following information: last name(s) and first name(s) or entity, date of birth, place of birth, nationality, actual address of domicile/registered office, incl. country):

As the principal card applicant/principal cardholder, I hereby undertake to automatically inform the card issuer of any changes. It is a criminal offence to deliberately provide false information on this form (Article 251 of the Swiss Criminal Code, document forgery).

Form A – Declaration of identity of the beneficial owner (mandatory information)6.

Funds used to pay the monthly statement (or any additional amount) or to reload the prepaid card.

Savings Income Family assets Inheritance/donation Sale of assets

Other (please specify)

Source of the funds7.

Circumstantial evidence: green-card holder, citizen/resident/place of birth/other address in the USA

As applicant of the principal card (credit or prepaid card) of the additional card I hereby confirm that I am to be qualified as a U.S. person within the purview of the legal provisions of the IRS (Internal Revenue Service, U.S. Department of the Treasury).

Note: to be filled in by U.S. persons only8.

Pla

tinum

/E

01.2

021

4/

5

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

1. Credit option/interest The credit option will enable the principal cardholder or additional cardholder (hereinafter referred to as the “Cardholder”) to pay the amount shown on the relevant monthly statement in installments, for transactions that are performed after expiration of the revocation deadline (see section 3 below). In such cases, the Bank must receive the minimum amount, corresponding to 2,5 % of the total billed amount, subject to a minimum of CHF 50, by the date stated on the monthly statement. Any payment arrears must also be settled immediately. If the Bank is not in possession of the required payment by the stated date, or if the amount paid is less than the prescribed minimum, the Cardholder will be deemed in default in respect of the whole balance, without any further request for payment, with all legal consequences in this regard. On default of the Cardholder, the total balance on any other account statements in the name of the same Cardholder will also immediately become for payment. Any excesses of the spending limit must be settled immediately. The annual interest rate charged on arrears will be no higher than 15% (Article 14 of the Federal Consumer Credit Act [Konsumkreditgesetz – KKG]); the applicable maximum interest rate is set by the Federal Department of Justice and Police (FDJP). A partial payment will initially be used to settle the interest due. 2. Check of creditworthiness, spending limit, and overall limit The spending limit will be set on the basis of the check of creditworthiness and notifi ed to the Cardholder with a copy of the credit card application sent with the credit card. It will be subject to a maximum of 15% (for Cornèrcard Classic cards) or 20% (for Cornèrcard Gold and Platinum cards) of the annual income stated in the card application, or fractions thereof. As a rule, the maximum amount will be limited to CHF 10,000 (for Cornèrcard Classic cards) or CHF 90,000 (for Cornèrcard Gold and Platinum cards). The check of creditworthiness will be conducted on the basis of the Cardholder information provided on the card application form. In addition, information (regarding current address or fi nancial standing) may be obtained from employers, banks and public bodies (debt enforcement authorities or residents’ registration offi ces), credit reference agencies, and, in particular, from the Zentralstelle für Kreditinformation (ZEK) (Central Offi ce for Credit Information) and the Informationsstelle für Konsumkredit (IKO) (Consumer Credit Information Offi ce). The spending limit set for the Principal Cardholder will be the overall spending limit for all Principal Cards issued in the name of the Principal Cardholder and the Additional Cardholder. As a result, all transactions effected using these Cards may not, in aggregate, exceed this overall spending limit. The Bank reserves the right to adjust the spending limit at any time and shall notify the Cardholder of any such adjustment in writing. Spending in excess of the limit set is not permitted. In the event that the limit is exceeded nevertheless, the Cardholder shall repay the excess amount immediately and in full. The Cardholder shall immediately inform the Bank of any worsening of his/her economic circumstances. 3. Revocation and notice of termination The Cardholder is entitled to give written notice of termination of this credit agreement within 14 days of receipt of the cards requested. The Bank is entitled, at any time, to give 30 days’ written notice of termination of a credit option. Otherwise the present credit option will end on expiration of the credit card contract. 4. Miscellaneous No amendments to the present credit agreement will be effective unless it is in writing. Otherwise the current GTC for the Classic, Gold and Platinum Visa, Mastercard and Diners Club of the Bank apply in their entirety. These will be sent to the Cardholder with a copy of the card application and the card (and can be viewed at cornercard.ch (Visa/Mastercard) or dinersclub.ch (Diners Club) or ordered by telephone on +41 91 800 41 41 (Visa/Mastercard) or +41 58 880 88 00 (Diners Club). 5. Applicable Law All legal relations between the Cardholder and the Bank will be governed by and construed in accordance with Swiss law. Lugano will be the place of performance, the place of debt enforcement for Cardholders resident abroad, and the exclusive place of jurisdiction for all disputes, subject to mandatory provisions of Swiss law. The Bank will, however, also have the right to take legal action against Cardholders in the competent court of their place of residence or in any other court of competent jurisdiction. Version 01.2021

Credit Option Agreement between Cornèr Bank Ltd., Via Canova 16, 6901 Lugano, (hereinafter referred to as the “Bank”) and the cardholder of a credit card13.

Signature

By signing I confirm that I have taken note of, and understood, the above information.

Place/Date Credit card applicant

Place/Date Additional card applicant

14.

Signature

By signing I confirm that I have taken note of, and understood, the above information.

Place/Date Credit card applicant

Place/Date Additional card applicant

Signature

By signing I confirm that I have taken note of, and understood, the above information.

Place/Date Credit card applicant

Place/Date Additional card applicant

1

2

3

Reported by

Please indicate the last 4 digits of the Cornèrcard to which the premium should be credited

I would like to receive this report: (gift code)

Recommendation is only possible by cardholders who are members of the Cornèrcard Cashback/Miles & More program. Only new principal cardholders may be recommended.

Code 01: Cashback (the amount varies depending on the card requested)Code 097: 3,000 miles for the recommendation of a Classic cardCode 098: 6,000 miles for the recommendation of a Gold card

Last name/First name

Excerpt from «Charges, interest rates and fees» tableComplete table: cornercard.ch/e/prices

Annual subscription fee

Principal cards

Additional cards

Platinum

CHF 500

Cornèrcard GoldCHF 0

Diners ClubMiles & More

CHF 220

CHF 100

Insurance mediation and data protection: we acknowledge and accept that, depending on the card product selected, insurance benefi ts may also be included. The General Terms of Insurance (GTI) for insurance cover provided automatically and free of charge with Cornèrcard products can be ac cessed or ordered at any time at cornercard.ch/e/gtc (Visa/Mastercard) and dinersclub.ch/e/documents (Din-ers Club). We acknowledge that the respective insurer alone is liable for any errors, negligence, or incorrect information in connection with the insurance contracts it provides. Personal data made available in connection with any insurance may be disclosed to the insurers and will be processed by the Bank and the insurers exclusively for the purpose of concluding and administering the insurance contract and in the event of a claim. Personal data may be disclosed to authorized third parties and/or other Group companies for the purpose of processing the insurance contract. Data may be transferred abroad if such third country provides for equivalent data protection (recognized as such by Swiss data protection legislation). Edition 01.2019

Applying for Payment Protection Insurance, I confi rm that I am between 18 and 62 years old. I further confi rm to be resident in Switzerland or in the Principality of Liechtenstein (the enclave of Büsingen am Hochrhein (DE) is excluded), to have been employed for more than 6 months and at least 16 hours a week (self-employed persons are excluded from the unemployment coverage), to be in a permanent and non-terminated employment relationship, not to be close to early retirement, not to have been absent in part or in full from work due to illness or accident for more than 25 workdays during the last 12 months, not to have been treated on an in-patient basis for more than 20 successive days and currently not to be scheduled for admission to a hospital. Edition 01.2021

Declaration for the requested additional services: in our capacity as signatories of the application for a credit card (principal and/or additional card) or a prepaid or reloadable card, we acknowledge that on acceptance of this application for the requested additional services from Cornèr Bank Ltd., we will receive a written confi rmation. The respective terms and conditions (General Terms of Insurance and other Terms of use, as applicable) for the use of the above-mentioned services as well as the information on the respective insurer can be viewed at cornercard.ch/e/gt or can be requested by calling +41 91 800 41 41. The terms and conditions for Securicard products can be viewed at securicard.ch or can be requested by calling +41 58 122 10 10. Any applicable insurance premiums or service fees will be charged to our card automatically. The insurance begins on the date stated in the insurance confi rmation. The insurance ends if it is cancelled, the premiums due are not paid, the card is defi nitively blocked or the contractual relationship with the insurer is terminated. Insurance coverage and services are provided exclusively in accordance with the General Terms of Insurance for payment protection insurance, travel insurance, travel accident Advantage, extended warranty for electrical and electronic appliances, private and motor legal protection insurance and for Securicard insurance benefi ts.With the signature of the application we confi rm to have read and understood the terms and conditions applicable to the additional services (General Terms of Insurance, other Terms of use, as applicable) and that we accept them without reservation. Edition 01.2021

Insurance products; cooperation with insurance companies11.

The Company and the Cardholder authorize the Bank to transmit personal data, card data, and transaction data to partner companies that are directly or indirectly contractually bound to the Bank, such as Miles & More GmbH, and that require such data for the administration, processing, and billing of special services, such as the awarding of miles in the Miles & More program, which they deliver in connection with the card product selected, or for marketing communication. The Company and the Cardholder acknowledge and accept that such partner companies choose at their discretion which additional services to deliver, if any. The Company and the Cardholder hereby authorize the Bank to transmit only that personal data and card usage data to Miles & More GmbH or their authorized third parties that is required for awarding miles in the Miles & More program. Should the Cardholder not yet be a member of Miles & More GmbH’s Miles & More program, submission of this Application will also constitute a request for membership in this program. For this purpose, the Cardholder’s name and contact information will be sent to Miles & More GmbH (Unterschweinstiege 8, 60549 Frankfurt) and a Miles & More service card will be issued. The Company and the Cardholder hereby acknowledge that the Miles & More Terms and Conditions apply exclusively to the services provided as part of the Miles & More program, specifically for acquiring and receiving Miles & More award miles, which are available online at miles-and-more.com. New Miles & More members will receive the Terms and Conditions along with the Miles & More service card. Using and/or signing the card also constitutes further confirmation that the Cardholder has received, understands and accepts in full the Miles & More Terms and Conditions. Any offer of award miles made by the Bank as a welcome bonus is open exclusively to new clients who do not yet hold a Cornèrcard Miles & More Business/Corporate credit card or who have not canceled their card in the last six months. Furthermore, the Bank reserves the right to reverse the welcome bonus award miles if the card contract is canceled by the cardholder before twelve months have elapsed after the card has been issued. Edition 09.2017

Collaboration with partner companies, Miles & More program membership12.

Pla

tinum

/E

01.2

021

5/

5

Duly complete all the fields and sign the card application.

Instructions for sending the card application.

1

Enclose all the documents necessary for issuing the card.2

Cut out the prepaid coupon on the last page of this letter.3

Glue the prepaid coupon to the upper right-hand corner of an envelope with a maximum size of B4 (353 × 250 mm).

4

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Cornèr Banca SA Cornèrcard Via Canova 16Casella postale6901 Lugano

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Features and conditions1 Platinum

No bank account required

Cash withdrawalCommission in and outside Switzerland, min.2

– Withdrawals at ATMs – Withdrawals at bank counters

3,75 %CHF 10CHF 15

Money transfer/quasi-cash(e.g. through Western Union, Skrill or Revolut) 3,75 %

Instalment planYou choose whether to pay the due balance in full or to pay in monthly instalments of at least 5 % or CHF 100 (valid at the latest from the monthly statement of June 2021: 2.5 % or at least CHF 50). Annual interest rate, not exceedingCredit permitted only if not leading to overindebtedness (Art. 3, par. n, UWG)

12 %

Purchases in foreign currenciesRetail exchange rate of Cornèr Bank Ltd. on the booking date plus foreign currency processing fees of no more than 1,2 %

Transactions abroad 1,2 %3

Liability in the event of loss or theft of the cardIf full compliance with all obligations of due diligence

CHF 0

Replacement cardImmediate replacement of Card and emergency cash advance of CHF 1,000 within 48 hours in the event of loss or theft

CHF 0

Monthly statement – Monthly statement (paper format) – Electronic monthly statement (must be activated online at icorner.ch) – Reprint of monthly statement (per order)

free of chargefree of charge

CHF 10

Payment term for monthly statement From the date issued, within 25 days

Payments at the post officeFees for payments at the post office, from CHF 1.204

E-Access

Cornèrcard AppAccess to your card data anytime and anywhere. Available for smartphones and tablets

iCornèrThe customer portal for the simple administration of cards, personal details and other services at the click of a mouse

Additional services included

Cornèrcard Cashback5

Thanks to the Cornèrcard Cashback program you can collect 1,5 % cashback on every purchase – anytime and anywhere

Mobile PaymentPaying via your smartphone – it’s easy and secure. Find out more at cornercard.ch/mobilepayment

Best Price Guarantee6

You receive a refund of the difference in price for an item you purchased with your Cornèrcard and a lower price you found in Switzerland for the same item offered by another merchant. – Coverage applies to items purchased in Switzerland online or in stores – Discounted items are excluded – Coverage duration: 14 days

Coverage per year and per claim:

CHF 4’000

Services at a glance.

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano, Tel: +41 91 800 41 41, cornercard.ch

Additional services included Platinum

Purchase Protection Insurance6

Worldwide 45-day coverage in the event of theft, damage and destruction of purchases made by you with your Cornèrcard card at merchant locations or online. Maximum coverage:– Per claim– Per year

CHF 5’000CHF 15’000

Legal Protection Insurance6

Helps with disputes related to purchase – worldwide and online Worldwide legal protection for claim settlement or refund, but not exceeding

CHF 350’000

Travel Insurance (family coverage)6

Worldwide for an unlimited number of trips per year Insurance coverage and maximum benefit per event – Cancellation expenses, travel interruption and travel assistance: – Travel delay: – Baggage: – Treatment expenses and medical assistance: – Deductible coverage for car rentals (CDW):

CHF 60’000CHF 5’000

CHF 15’000CHF 1’500’000

CHF 10’000

Travel Accident Advantage6

Coverage extends to you and your family for the entire duration of your trip. Maximum benefit in the event of death or permanent disability:

CHF 1’000’000

2-year warranty extension6

Thanks to the warranty extension, you benefit from a two-year extension of the insurance coverage for your electronic devices purchased all over the world

Priority Pass™Unlimited, free access for you and a companion. Wherever you are flying, you are always welcome in over 1,300 airport lounges

Concierge ServiceYour concierge offers a welcome moment of relaxation and will personally take care of your wishes, 365 days a year

1 The complete “Charges, Interest Rates, and Fees” table is available at cornercard.ch/e/prices2 Revenue from lotteries (excl. Swisslos), betting, and casinos is considered a cash withdrawal (gambling).3 The fee is only charged in countries with a currency other than the card currency. 4 Charge varies depending on the amount of the payment. Detailed information can be found at cornercard.ch/e/payments5 All the information and conditions of participation can be found at cornercard.ch/cashback6 Applies only if payment was made with the Platinum card.

Optional additional services

ScanProtectScanProtect gives you access to Darknet Monitoring, a protection portal with comprehensive insurance coverage against cybercrime. Maximum insurance coverage: in the event of personal injury on the Internet (CHF 20,000), damage due to loss of personal data (CHF 20,000), psychological support in the event of mobbing (CHF 3,000), legal protection in case of disputes on the Internet (350,000) and data restoration (CHF 5,000). – Individual coverage: – Family coverage:

CHF 80CHF 99

Hertz car rental6

Worldwide discounts on rental rates