The American Express Platinum Card - Secure Application Form
Skip to main content
Start of menu
Close Menu

The American Express® Platinum Card

Mandatory fields will be marked with an *

Welcome to your application. Let's get started.

First tell us a few things about yourself.

The American Express® Platinum Card
Error: Please select your Title from the list. Click to Amend
Error: Please ensure First Name contains only letters (A-Z, upper and lower case), spaces, hyphens or apostrophes. Click to Amend
Error: Your Middle Name can contain letters (A-Z, upper and lower case), spaces, hyphens or apostrophes. Click to Amend
Error: Please ensure Surname contains only letters (A-Z, upper and lower case), spaces, hyphens or apostrophes and is more than 2 letters in length. Click to Amend
Error: Please recheck how you would like your name to appear on your Card. Click to Amend
Error: Please ensure you enter an email address and it's in the correct format (i.e. account@domain) Click to Amend
Error: The email addresses you entered do not match. Click to Amend
Error: Please ensure Date of Birth contains digits only and is a valid date. You need to be 18 or over to apply. Click to Amend
Error: Please ensure Postcode is in the correct format i.e. 4-digit number. Click to Amend
Error: Please check the box to confirm your acknowledgement. Click to Amend
Error: Please check the box to confirm you have read the above Declaration. Click to Amend
  1. How would you like your name to appear on the Card?

    The front of your American Express Card has room for up to 20 characters. You can select how you want your name to appear on the Card by clicking on the drop down box. Your surname must appear on the Card. If you have a long name, you may need to use just an initial and your surname

  2. Email Address

    Your email address may help us to contact you quickly if we have any questions about your application. It will not be used for marketing purposes unless you select to opt-in.

  3.  /   / 

Qualified Applicants must:

  • Be over 18 years of age.
  • Be an Australian citizen or a permanent resident.
  • Have household gross (pre-tax) annual income of $100,000 or more.

 

By selecting this box, you agree to let American Express retain your information and contact you about the status of your application. For additional information, please read our Privacy statement. (Note the content contained in this link may not be viewable on a mobile device).

 

Please take this opportunity to read the application Declaration and how we will use your personal information. Please check the box to confirm you have read and agree to the above Declaration.

The American Express® Platinum Card
Have a question?

  • For assistance check out our list of FAQs or please call
    1300 736 793.
  • 1
    About You
  • 2
    Contact Details
  • 3
    Your Finances
  • 4
    Additional Benefits
  • 5
    Review And Send

Contact Details

Hello , all your information is protected on this secure site, and only used to process your Application.

General And Contact Information

We require your home phone number and your address as part of our credit checks. We may use these details to get in contact with you about your Application.


  1.    Home Phone Number

    Your home telephone number is required as part of our standard credit checks. Having it will help us to process your application as quickly as possible. Remember, it will never be given out to anyone else or used for marketing purposes without your permission.

  2. Mobile Telephone

    Your mobile phone number may help us to contact you quickly if we have any questions about your application. It will not be used for marketing purposes or given to anyone else, without your permission.

  3. Address Details

    For your security a new Card must go to your residential address. You can change to your preferred statement address at a later date

    Sorry we are unable to look up the address you have entered. Please enter the address in the section given below Sorry we are unable to process the address you have entered. Please enter the address in the section given below We are unable to process your application with a PO Box Address as it is not an acceptable address. Please enter a Non PO Box Address.
  4. Search Address

    Type in your address and please select from the list.

  5. Residential Street Address

    We need to know your residential address to help with our credit checks.

  6. Own Live With Parents
    Rent Mortgage
    Residential status

    We need to know the status of your accommodation to complete our credit checks

  7.    Time at this address (YY/MM)

    If you have lived at your current address for less than 5 years, we will ask for information on your previous address. Again, this information is required as part of our credit checks and will help speed up your application.

    Previous Address Details

    As you have lived at your current address for less than 5 years, we need your previous address to complete our credit checks.

  1. Residential Status

    If your previous address is outside of Australia, we need your overseas address. This information will assist us with your application.

    1. Search Address

      Type in your address and please select from the list.

    2. Residential Street Address

      We need to know your residential address to help with our credit checks.

Our Communications With You

Enrolment For Online Statements:

  • If you select this option we'll need your email address to send you a monthly email when your statement is ready to view.
  • You will need to register for online services upon receiving your Card to view this paperless statement online.
You can uncheck this box option, if you would prefer to receive paper statements in the post to your billing address.

Email Communications:

Your Finances

Employment And Security Information

Full Time/Part Time Details

Casual Details

We need information about your finances for our credit checks. All your information is protected on this secure application site.

  1. Search Address

    Type in your address and please select from the list.

  2. Sorry we are unable to look up the address you have entered. Please enter the address in the section given below Sorry we are unable to process the address you have entered. Please enter the address in the section given below
  3. Employer's Address

    We need to know your employers address, to help with our credit checks.

  4.   
  5. Your annual salary before tax

    Please enter your personal annual income for the year before taxes, from all sources.

  6. Your partner's/spouse's income before tax

    Please enter your partnerís / spouseís income for the year before taxes, from all sources.

  7.   

Self-Employement Details

  1. Search Address

    Type in your address and please select from the list.

  2. Sorry we are unable to look up the address you have entered. Please enter the address in the section given below Sorry we are unable to process the address you have entered. Please enter the address in the section given below
  3.   
  4. Your annual salary before tax

    Please enter your gross income for the past 12 months only.

  5. Your partner's/spouse's income before tax

    Please enter your partnerís / spouseís income for the year before taxes, from all sources.

  6.   
  7. External Source To Confirm Financial Details

  8.   

Retirement/Self Funded Details

  1. Your annual salary before tax

    Please enter your personal annual income for the year before taxes, from all sources.

  2. Your partner's/spouse's income before tax

    Please enter your partnerís / spouseís income for the year before taxes, from all sources.

  3.   
  4. External Source To Confirm Financial Details

  5.   

Student Details

  1. Search Address

    Type in your address and please select from the list.

  2. Sorry we are unable to look up the address you have entered. Please enter the address in the section given below Sorry we are unable to process the address you have entered. Please enter the address in the section given below
  3.   
  4. Your annual salary before tax

    Please enter your personal annual income for the year before taxes, from all sources.

  5. Your other annual income before tax

    Please enter your other annual income for the year before taxes, from all sources.

  6. Your partner's/spouse's income before tax

    Please enter your partnerís / spouseís income for the year before taxes, from all sources.

    Please enter your partnerís / spouseís annual income before taxes, from all sources. If $0 please enter $0.00

Home duties/Unemployed Details

  1. Your annual salary before tax

    Please enter your personal annual income for the year before taxes, from all sources.

  2. Your other annual income before tax

    Please enter your other annual income for the year before taxes, from all sources.

  3. Your partner's/spouse's income before tax

    Please enter your partnerís / spouseís income for the year before taxes, from all sources.

    Please enter your partnerís / spouseís annual income before taxes, from all sources. If $0 please enter $0.00

Cards Held

  1. Yes No
  1. Card Number *  -   - 
  1. Yes No Do you have any other cards that are NOT American Express?

    Please provide details of credit cards that are NOT held with American Express. We will use this information as part of our application processing.

  1. MasterCard Visa Other

Extra Options

Membership Rewards At No Additional Fee


You will be pleased to know that the annual Card fee includes automatic enrolment in our leading Membership Rewards program, Ascent Premium, saving you $80 every year.

Membership Rewards Ascent Premium has been specifically designed for frequent travellers who want the advantage of transferring points to any of our airline rewards partner programs. It gives you access to 9 leading airline rewards partners, including Qantas (1 Membership Rewards point = 1 Qantas Frequent Flyer point), Singapore Airlines (1 Membership Rewards point = 1 KrisFlyer Mile) and Cathay Pacific (1 Membership Rewards points = 1 Asia Miles).

In addition, you can redeem your points to pay for pre-paid travel through a dedicated Platinum Travel Service team. You can book virtually any airline or hotel you want, your points can even cover all the extras such as car hire, tours or airport taxes and you’ll never experience the inconvenience of seat restrictions or blackout dates.

Ascent Premium also offers great retail rewards with the latest hi-tech products like Wii games. You can even redeem your points for gift cards at leading retailers such as David Jones and Tiffany & Co.

Supplementary Cards At No Additional Fee

You can apply for a supplementary Card for any family member including a spouse or defacto partner, over 18 years of age. You will be the main Cardholder, but the extra Cardholder will be able to make purchases on the Card.

  1. Would you like a Supplementary Card?

    For added flexibility, you can order an extra Card for a partner, family member or friend over 18 years of age. You will be responsible for paying for the charges on the Card.
    You can view the charges made on the extra Card both online and on your paper statements. The extra Cardholder can view their charges online but they will not be able to view your charges or other account activity.

    SUPPLEMENTARY CARD 1

  1. How would you like the Supplementary Applicant's name to appear on their new Credit Card?* This must contain their Surname (Maximum 20 characters).
  2. Sorry we are unable to look up the address you have entered. Please enter the address in the section given below Sorry we are unable to process the address you have entered. Please enter the address in the section given below We are unable to process your application with a PO Box Address as it is not an acceptable address. Please enter a Non PO Box Address.
  3. Search Address

    Type in your address and please select from the list.

  4. Date of Birth (DD/MM/YYYY) *Must be 18 or over  /   / 
  5. Relationship to supplementary Card applicant

    We need this information to help with our application processing

  6. If the Supplementary Card applicant is an existing American Express Card Member, please provide their Card number.

    Supplementary Card Holder's American Express Card number  -   - 
  7. Yes No

    SUPPLEMENTARY CARD 2

  1. How would you like the Supplementary Applicant's name to appear on their new Credit Card?* This must contain their Surname (Maximum 20 characters).
  2. Sorry we are unable to look up the address you have entered. Please enter the address in the section given below Sorry we are unable to process the address you have entered. Please enter the address in the section given below We are unable to process your application with a PO Box Address as it is not an acceptable address. Please enter a Non PO Box Address.
  3. Search Address

    Type in your address and please select from the list.

  4. Date of Birth (DD/MM/YYYY) *Must be 18 or over  /   / 
  5. Relationship to supplementary Card applicant

    We need this information to help with our application processing

  6. If the Supplementary Card applicant is an existing American Express Card Member, please provide their Card number.

    Supplementary Card Holder's American Express Card number  -   - 

Year End Summary

  1. Yes No

Cancel your Application