Platinum Loyalty Mastercard Application Form

Platinum Loyalty Mastercard Application Form

View our Convenient FAQs and Terms and Conditions for more details on the Platinum Loyalty Mastercard.

FAQs

Terms

As part of our Platinum Loyalty Mastercard application process, and on behalf of our partner, the St. Kitts-Nevis-Anguilla National Bank Limited, we are obligated to collect the below information about your status as it relates to sanctions.

Required fields are marked with *

Are you on any Sanctions List issued by any country?*

Yes

No

Please state the issuing country and the reason you have been placed on this list

Country*

Reason*

Are you affiliated with any person, institution, business organization or any other entity sanctioned by any country?*

Yes

No

Please state the issuing country and the entity you are affiliated with

Country*

Affiliate*

First name*

Last name*

Date of Birth*

Residential Address*

Country*

Nationality*

Location

Cayon & New Street
PO Box 18
Basseterre
St. Kitts.

Contact

Local: (869)-465-2588
US: 972-746-2758
UK: 03333440092
[email protected]
[email protected]

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