English | Español   About Banco General | Contact Us
Personal Banking
Business Banking
Private Banking
other Services
Sus Buenos Vecinos Foundation
Credit Cards

Credit Card Application
Applicable only to Panama residents.

To be processed, all the information in the application must be completed.
Choose a card  
Applicant Personal Information
*Names 1st. 2nd.
*Last names 1st. 2nd.
*Identification or Passport (if foreigner)
Social Security
Date of Birth
Country of Birth
Nationality
Marital Status
E-mail
Years Residing in Panama
Time at Current Address Years Months
Please indicate if you live in:  
  Own Home
Own Home - Mortgage
 Rent
        Monthly
Live with parents/relatives
Other
Full Home Address
 (Neighborhood, Street, House Number, Name of Building)
City/Province
District
P.O. Box  
*Telephones Home Telephone    Cell/Mobile  
Number of Dependents  
Education
Occupation
Do you own a car? Yes No
Make/Model Year  License Plate Number
Full Name of Spouse
Identification or Passport
Place of Employment
Telephone
Name of Closest Relative (Not living with you)
Relation
Full Home Address
Telephone
   
Applicant Employment Information
Place of Employment  
Type of Business
Title or Position Beginning Date
Telephone
Full Street Address
City/Country
Gross Monthly Salary
Declared Income Source
Amount of Declared Income
Address & Telephone of Declared Income Source
If employed for less than 5 years, indicate previous employer
Beginning Date Months Years
End Date Months Years
Address
Type of Business
Telephone
   
Credit References (Please include all payment obligations, including voluntary payments)
Type
Bank/Institution
Initial Amount
Balance
Monthly Payments
Mortgage
Loan
Auto
Leasing
Others
Others
Time deposit
Savings Accounts
Checking Accounts
         
Credit Card History
Type of Card
Issuing Bank or Institution
Balance
Limit
 
Personal References (May not be a relative) 
Name
Place of Employment
Telephone
 
Additional Cardholder Information
Applicant Name
Identification or Passport (if foreigner)
Relation
Nationality
Social Security
Sex
Marital Status
Date of Birth
Education
Occupation
E-mail
Address
District
Home Telephone
Place of Employment
Position
P.O. Box  
Work Telephone
 
I would like to receive my credit card at the following location:
Work Home Branch:
Address  
     
I would like to receive my Account Statements through:
P.O. Box On-Line Banking (Banca en Línea) Branch:
Address  
Please indicate if you would like Fraud Insurance coverage:
Yes
I accept the charge:
US$ 2.00(classic), US$ 3.50(gold)
No
If I decline fraud insurance coverage, I confirm my responsibility for any fraudulent transaction that may be registered in my Banco General credit card, as it is established in the contract.
   

Please press the button once.
     

By this means, I/We declare that the information herein is true and correct, and authorize, irrevocably, BANCO GENERAL, S.A., its affiliates and subsidiaries, to collect, transmit, disclose or consult with any other credit bureau, public or private financial institutions, local or foreign, or any other local or foreign financial person or institution, all information it deems convenient regarding the obligations, operations or transactions, I/We have maintained, currently maintain or will maintain in the future with these sources and with BANCO GENERAL, S. A., its affiliates and subsidiaries.

I/We equally acknowledge being informed by BANCO GENERAL, S. A., its affiliates and subsidiaries, that our credit information, in case any exists, will be entered, sequentially and numerically, into the credit bureau’s database, and said data will contain information regarding payment dates, late payments, or breach of payment obligations, among other data.

I/We expressly release BANCO GENERAL, S. A., its affiliates, subsidiaries, and dependents, from any consequence or responsibility whatsoever, resulting from actions taken by these sourcesn.

BANCO GENERAL, S.A., its affiliates and subsidiaries, are equally authorized to disclose and/or consult, from time to time, credit references from the Asociación Panameña de Crédito, as well as any other existing credit bureau.

The information transmitted by the applicant through this means is not encrypted. Banco General cannot guarantee the confidentiality of this information, pending receipt of the same in our systems.

This application is valid only for residents of the Republic of Panama.