The American Express® Card Supplementary Cardmember Application

Primary card holder details

Basic personal information

Primary contact details


Do you have multiple nationalities?


Legal information

Declaration and confirmation

There's some fine print

I provide my express consent to Nedbank to process my personal information as defined in legislation, including fingerprints, biometric personal identification details, photographs and identity verification in terms of the Financial Intelligence Centre Act of 2001, for purposes of providing financial services and preventing fraud and money laundering, and to send my personal information to third parties in order to provide a service to me, and also to send such information to foreign countries, when necessary, by electronic or other means for processing. I understand such countries may not have specific data privacy laws.

Credit check

By proceeding further you acknowledge that you have visited the above links and that you have read, understood and agreed to the contents of those links and of this application.

Do you understand and accept the abovementioned terms?

Please note that you cannot continue if you have not accept the terms and conditions. Return to homepage

Additional card holder details

Personal details

Contact details


Do you have multiple nationalities?


Do you have a foreign citizenship tax obligation(s)?

Residential address

South African or foreign address?

Postal address

Is postal address same as residential address?

Customise your credit card

Card delivery