Application Form

PLEASE NOTE THAT THE FOLLOWING IS REQUIRED WITH YOUR APPLICATION:

Job Letter and Two (2) most recent Consecutive Pay Slips (to be provided by Guarantor if Student not employed)
Valid Photo Identification (Applicant and Guarantor if Applicable)
Valid Photo Identification & Proof of Address (Applicant and Guarantor if Applicable)
$15.00 Processing Fee (Approved Applications Only)

Promotional Code

Personal Details

Title

Last Name

First Name

Middle Name

Marital Status

National Identification No./Driver's License

Nationality

Date Of Birth

Email Address

Home Telephone

Mobile Telephone

Current Address

Employment Details (if applicable)

Name of Employer

Work Telephone Number

# of Years at Workplace

Employer Address

Employer Email

Student Details

Institution Name

Institution Address

Telephone Number

Date Enrolled

Financial Information

Name of Primary Bank

Bank Address

Monthly Income

Monthly Expenses

Home Ownership Status

Own Rent Family Home Other

Character Reference

Title

Last Name

First Name

Middle Name

Current Address

Home Telephone

Mobile Telephone

Guarantor Details

Title

Last Name

First Name

Middle Name

Marital Status

National Identification No./Driver's License

Nationality

Date Of Birth

Email Address

Home Telephone

Mobile Telephone

Current Address

Relationship To Applicant Relationship with/to applicant.

Name of Employer

Work Telephone Number

# of Years at Workplace

Employer Address

Employer Email

Upload Any Supporting Documents ( eg. Scans of identification documents or business registration documents as images or pdf files. )

Please note original documents should be provided in order to complete the process.

Applicant Summary Of Terms and Conditions

I certify that the above information is true and complete and that this information is provided for the purpose of obtaining a Payce Digital Student Smart Card Account. I, the Authorised User, agree to the terms and conditions of the Cave Shepherd Card (Barbados) Inc. Cardholder Agreement and agree to repay all credit extended under this application. I authorize Cave Shepherd Card (Barbados) Inc. (the “Company”) to investigate my credit through registered credit reference agencies and to make any other enquiries the Company may consider relevant in processing this application.

I understand that a condition of my approval of the Payce Digital Smart Card is to enroll in the Creditor Life Insurance Program. I understand that to be eligible for insurance coverage, I must be at least 18 years of age and that I am further bound by the terms and conditions as stated in the documentation pertaining to the Creditor Life Insurance. I authorize Cave Shepherd Card (Barbados) Inc. to provide the Insurance Company with my Payce Digital Student Smart Card Account Number, mailing address, statement balance and to charge my monthly premiums to my Payce Digital Student Smart Card Account.

If so registered and accessing the Payce Digital Online and Payce Digital Mobile App Services, I agree to use the User ID provided as part of the registration process and also agree to change any temporary passwords provided during my first log in. I agree to remain solely responsible for management of my online access and to report any changes to my registered information to Cave Shepherd Card (Barbados) Inc.

It is understood that by signing this application, making use of my Payce Digital Student Smart Card and accessing the Payce Digital Online and Payce Digital Mobile App Services, if so registered, that I the Authorised User have received and read and understood the terms and conditions set out in the Payce Digital Mobile Terms and Cave Shepherd Card (Barbados) Inc. Cardholder Agreement.

CUSTOMER SIGNATURE NAME ^*

GUARANTOR SIGNATURE NAME ^*