Downloadable Forms

Prudentialife Visa Application Form

Use the Prudentialife application form to apply for a Prudentialife Credit Card. After completing the form, send it to 19th Floor Trident Tower 312 Sen. Gil Puyat Avenue, Salcedo Village, Makati City, Philippines, 1227.

Download (3.05 MB)

Prudentialife Visa Credit Card Terms and Conditions

Credit card terms and conditions governing the use of your Prudentialife Visa Card.

Download (107 KB)

Record Update Form

Use the record update form to inform Prudentialife of changes in your contact information. This form may also be used to apply for an extension card. Fax to 845 4117 or 888 6524 after filling out. For changes in billing address, please include a proof of billing.

Download (2 MB)

Supplementary Application Form

Use the Supplementary card application form to apply for an extension or supplementary card. Only first-degree relatives may be applied as supplementary cardholders. Fill out this form, signed by the Principal cardholder and the applicant, and fax to 888 6524 together with a valid ID of the supplementary card applicant.

Download (224kb.)

Rewards Redemption Form

Use the rewards redemption form to redeem rewards depending on the number of bonus points that you earned. Fax to 845 4117 or 888 6524 after filling out. Click here for a complete list of rewards items.

Download (350kb.)

Cardholder Dispute Form

Use the dispute form if there are entries/ transactions that appeared in your billing statements that you think are questionable or invalid.

Download (409kb.)

Credit Limit and Card Type Form

Use the Credit Limit and Card Type form to request for an increase or decrease in credit limit and/or to request for card type upgrade or downgrade.

Download (241kb.)

EasyPay Application Form

Use the EasyPay Application form to apply for EasyPay Cash (cash loan), EasyPay Convert (balance conversion) and EasyPay Transfer (balance transfer). Fax to 888 6524 after filling out.

For EasyPay Transfer, please attach a copy of your other bank card's most recent billing statement.

Download (772kb.)

E-Bills Enrollment Form

Use the E-bills form to apply for automatic charging of your Meralco, PLDT or Prudentialife Plan bill to your Prudentialife Visa credit card. Fax to 845 4117 or 888 6524 after filling out.

Download (660kb.)

Spend and Save Application Form

Use the Spend and Save Enrollment form if you would like to have your rewards points converted to investments in Optima Funds. Fax to 888 6524 after filling out.

Download (300kb.)