Secure Application

CitiBusiness® / AAdvantage® Platinum Select® World Mastercard®

Tell Us About Yourself

(All fields are required unless specified optional)

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To add an Employee to your account, you'll need to know his or her:

  • Full Name
  • Date of Birth
  • Social Security Number

If you don't know this information or have it with you, you can add an Employee to your account later by phone or online.

You may request additional cards for up to three Employees right now. If approved for your card, you can request cards for more Employees either by phone or online.

You must pay us for all charges made or allowed by . Employees are able to get account information. You also need the Employee's permission to give us any information about him or her that we request and to allow us to share information about him or her.

Add up to three Employees now, or select Submit to move on without adding anyone.

Employee Information

Name :

Date of Birth :

Social Security Number :

Name :

Date of Birth :

Social Security Number :

Name :

Date of Birth :

Social Security Number :

  • You must be an of the Business to submit this application.
  • Both the Authorized Officer and the Business shall be liable individually and jointly for all charges and balances on the account.

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