This form contains 134 fields organized into 37 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
@Work User ID Status
Yes Checkbox
Check this box if you have an existing @Work User ID.
No Checkbox
Check this box if you do not have an existing @Work User ID.
Additional Statement Recipient
Additional Statement Recipient Name Text
Enter the full name of the additional statement recipient.
Additional Statement Recipient Email Text
Provide the email address of the additional statement recipient to receive statement notification emails.
Additional Statement Recipient Phone Number Text
Enter the phone number of the additional statement recipient.
Additional Statement Recipient Address Line 1 Text
Provide the first line of the address for the additional statement recipient.
Additional Statement Recipient Address Line 2 Text
Provide the second line of the address for the additional statement recipient.
Authorising Officer Details
Authorising Officer Position Text
Please enter the position held by the authorising officer.
Authorising Officer Name (Please Print) Text
Please print the full name of the authorising officer.
Authorising Officer Business Email Address Text
Please enter the mandatory business email address of the authorising officer.
Authorising Officer Full Residential Address Text
Please enter the mandatory full residential address of the authorising officer.
Bank Account Details
Bank Name and Branch Address Text
Enter the name of the bank and its branch address for the account.
Account Type Text
Specify the type of bank account.
Account Number Text
Provide the bank account number.
BTA and Statement Set-Up Information
BTA Account Set-Up Name Text
Enter the BTA account set-up name, with a maximum of 30 characters.
Max length: 30 characters
Trip Requisition Text
Provide the trip requisition information, such as GL Code, Cost Centre, Client Code, or Employee ID, to be referenced on the statement, with a maximum of 20 characters.
Max length: 20 characters
Customer Reference Text
Provide the customer reference information, such as GL Code, Cost Centre, Client Code, or Employee ID, to be referenced on the statement, with a maximum of 20 characters.
Max length: 20 characters
Job Number Text
Provide the job number information, such as GL Code, Cost Centre, Client Code, or Employee ID, to be referenced on the statement, with a maximum of 20 characters.
Max length: 20 characters
Comment Text
Provide any relevant comment or information, such as GL Code, Cost Centre, Client Code, or Employee ID, to be referenced on the statement, with a maximum of 45 characters.
Max length: 45 characters
BTA Reports Selection
All Reports Checkbox
Check this box if you want to include all available BTA reports.
Spend Comparison Checkbox
Check this box if you want to include the Spend Comparison BTA report.
Traveller Analysis Checkbox
Check this box if you want to include the Traveller Analysis BTA report.
Customer Reference Checkbox
Check this box if you want to include the Customer Reference BTA report.
Top 10 Air Routings Checkbox
Check this box if you want to include the Top 10 Air Routings BTA report.
Trip Requisition Checkbox
Check this box if you want to include the Trip Requisition BTA report.
Company Addresses
Registered Address Text
Enter the company's full registered address.
Principal Place of Business is the same as the Registered Address above Checkbox
Check this box if the company's principal place of business is identical to its registered address.
Principal Place of Business Text
Enter the company's principal place of business, if it differs from the registered address.
Company Financial Cycle
First Month of Financial Year Text
Enter the first month of the company's financial year.
Cut-off Cycle Text
Enter the numeric cut-off cycle, a value between 0 and 9.
Max length: 1 characters
Company Names
Registered Company Name Text
Registered Company Name Text
Company Registration Details
Country of Registration Combobox
Please enter the country where the company is registered.
CURACAO(CUW) VIRGIN ISLANDS (U.S.)(VIR) MALDIVES(MDV) KYRGYZSTAN(KGZ) ROMANIA(ROU) CABO VERDE(CPV) GHANA(GHA) GUATEMALA(GTM) MEXICO(MEX) SAUDI ARABIA(SAU) ANGOLA(AGO) PERU(PER) PALAU(PLW) NIGER(NER) SRI LANKA(LKA) Please Select FAROE ISLANDS(FRO) HEARD AND MC DONALD ISLANDS(HMD) MAURITANIA(MRT) SEYCHELLES(SYC) SPAIN(ESP) GREECE(GRC) BRUNEI DARUSSALAM(BRN) NICARAGUA(NIC) BANGLADESH(BGD) CAYMAN ISLANDS(CYM) LAO PEOPLE'S DEMOCRATIC REPUBL(LAO) ZIMBABWE(ZWE) SINGAPORE(SGP) BHUTAN(BTN) CAMBODIA(KHM) BARBADOS(BRB) GAMBIA(GMB) MARTINIQUE(MTQ) CHILE(CHL) IRELAND(IRL) MONTSERRAT(MSR) SOMALIA(SOM) ST. PIERRE AND MIQUELON(SPM) MONTENEGRO(MNE) VANUATU(VUT) TIMOR-LESTE(TLS) SIERRA LEONE(SLE) ST. HELENA(SHN) ANTARCTICA(ATA) KAZAKHSTAN(KAZ) ICELAND(ISL) SENEGAL(SEN) CONGO, DEMOCRATIC REPUBLIC OF(COD) NAMIBIA(NAM) BOTSWANA(BWA) CHAD(TCD) GRENADA(GRD) THAILAND(THA) LATVIA(LVA) LIBERIA(LBR) NEW ZEALAND(NZL) MALAYSIA(MYS) AMERICAN SAMOA(ASM) ARMENIA(ARM) ISLE OF MAN(IMN) SAINT BARTHELEMY(BLM) SWEDEN(SWE) ITALY(ITA) NORFOLK ISLAND(NFK) NEPAL(NPL) SWAZILAND(SWZ) BELGIUM(BEL) BOUVET ISLAND(BVT) QATAR(QAT) TUNISIA(TUN) ANGUILLA(AIA) TOGO(TGO) BELARUS(BLR) TURKS AND CAICOS ISLANDS(TCA) IRAQ(IRQ) MOZAMBIQUE(MOZ) ISRAEL(ISR) YUGOSLAVIA(YUG) GUADELOUPE(GLP) NIGERIA(NGA) BRAZIL(BRA) CZECH REPUBLIC(CZE) DJIBOUTI(DJI) JORDAN(JOR) UNITED STATES(USA) MOROCCO(MAR) COTE D'IVOIRE(CIV) HOLY SEE (VATICAN CITY STATE)(VAT) MARSHALL ISLANDS(MHL) NEW CALEDONIA(NCL) ARUBA(ABW) TAIWAN(TWN) PAKISTAN(PAK) SINT MAARTEN (DUTCH PART)(SXM) HONG KONG(HKG) GUINEA-BISSAU(GNB) BELIZE(BLZ) LESOTHO(LSO) NIUE(NIU) FRENCH SOUTHERN TERRITORIES(ATF) COOK ISLANDS(COK) MYANMAR(MMR) SERBIA(SRB) COCOS (KEELING) ISLANDS(CCK) ALAND ISLANDS(ALA) SAINT VINCENT & THE GRENADINES(VCT) CONGO(COG) EGYPT(EGY) MICRONESIA(FEDERATED STATES OF(FSM) SYRIAN ARAB REPUBLIC(SYR) PHILIPPINES(PHL) UKRAINE(UKR) POLAND(POL) UNITED ARAB EMIRATES(ARE) MACAO(MAC) SLOVENIA(SVN) AZERBAIJAN(AZE) SAN MARINO(SMR) SAINT LUCIA(LCA) SURINAME(SUR) ZAMBIA(ZMB) BENIN(BEN) SWITZERLAND(CHE) SAINT KITTS AND NEVIS(KNA) URUGUAY(URY) ANTIGUA AND BARBUDA(ATG) NORTHERN MARIANA ISLANDS(MNP) MALI(MLI) BRITISH INDIAN OCEAN TERRITORY(IOT) KOREA, DEMOCRATIC PEOPLE'S REP(PRK) RWANDA(RWA) COLOMBIA(COL) REUNION(REU) CAMEROON(CMR) CENTRAL AFRICAN REPUBLIC(CAF) MOLDOVA, REPUBLIC OF(MDA) WESTERN SAHARA(ESH) BOSNIA AND HERZEGOVINA(BIH) FALKLAND ISLANDS (MALVINAS)(FLK) GUYANA(GUY) KIRIBATI(KIR) PITCAIRN(PCN) VENEZUELA, BOLIVARIAN REPUBLIC(VEN) UGANDA(UGA) IRAN (ISLAMIC REPUBLIC OF)(IRN) ALBANIA(ALB) JAMAICA(JAM) ESTONIA(EST) KUWAIT(KWT) MONGOLIA(MNG) NORWAY(NOR) SUDAN(SDN) UNITED KINGDOM(GBR) OMAN(OMN) CANADA(CAN) TURKMENISTAN(TKM) VIRGIN ISLANDS (BRITISH)(VGB) SAINT MARTIN (FRENCH PART)(MAF) INDONESIA(IDN) AUSTRALIA(AUS) CHRISTMAS ISLAND(CXR) NAURU(NRU) MALAWI(MWI) ERITREA(ERI) MONACO(MCO) NETHERLANDS(NLD) MAYOTTE(MYT) AUSTRIA(AUT) WALLIS AND FUTUNA ISLANDS(WLF) MACEDONIA,THE FORMER YUGOSLAV(MKD) GIBRALTAR(GIB) BONAIRE,SINT EUSTATIUS AND S(BES) COSTA RICA(CRI) AFGHANISTAN(AFG) COMOROS(COM) KENYA(KEN) HUNGARY(HUN) UNITED STATES MINOR OUTLYING I(UMI) BURUNDI(BDI) FRENCH POLYNESIA(PYF) PANAMA(PAN) BOLIVIA,PLURINATIONAL STATE OF(BOL) CHINA(CHN) DENMARK(DNK) FRANCE(FRA) PALESTINE,STATE OF(PSE) YEMEN(YEM) MAURITIUS(MUS) MADAGASCAR(MDG) GUERNSEY(GGY) ECUADOR(ECU) KOREA, REPUBLIC OF(KOR) ETHIOPIA(ETH) GABON(GAB) EQUATORIAL GUINEA(GNQ) TOKELAU(TKL) CROATIA(HRV) SOUTH SUDAN(SSD) PARAGUAY(PRY) TURKEY(TUR) SOUTH AFRICA(ZAF) DOMINICAN REPUBLIC(DOM) TANZANIA, UNITED REPUBLIC OF(TZA) FIJI(FJI) INDIA(IND) PORTUGAL(PRT) TRINIDAD AND TOBAGO(TTO) CYPRUS(CYP) ANDORRA(AND) CUBA(CUB) GERMANY(DEU) SLOVAKIA(SVK) ARGENTINA(ARG) BULGARIA(BGR) SOUTH GEORGIA & SOUTH SANDWICH(SGS) PAPUA NEW GUINEA(PNG) LITHUANIA(LTU) HAITI(HTI) FINLAND(FIN) NETHERLANDS ANTILLES(ANT) BERMUDA(BMU) GUAM(GUM) JERSEY(JEY) ALGERIA(DZA) PUERTO RICO(PRI) SAO TOME AND PRINCIPE(STP) SVALBARD AND JAN MAYEN ISLANDS(SJM) LIBYA ARAB JAMAHIRIYA(LBY) GREENLAND(GRL) BURKINA FASO(BFA) DOMINICA(DMA) MALTA(MLT) SOLOMON ISLANDS(SLB) LIECHTENSTEIN(LIE) EL SALVADOR(SLV) HONDURAS(HND) LEBANON(LBN) GEORGIA(GEO) GUINEA(GIN) RUSSIAN FEDERATION(RUS) SAMOA(WSM) BAHAMAS(BHS) FRENCH GUIANA(GUF) TUVALU(TUV) VIET NAM(VNM) BAHRAIN(BHR) JAPAN(JPN) TONGA(TON) TAJIKISTAN(TJK) UZBEKISTAN(UZB) LUXEMBOURG(LUX)
Company Telephone Number Text
Please provide the telephone number for the registered company.
Company Fax Number Text
Please provide the fax number for the registered company.
Company Registered Number Text
Please enter the official registration number assigned to the company.
Paid-up Capital Number
Please enter the total value of capital that has been paid by shareholders.
Nature of Business Text
Please describe the primary type of business or industry the company operates in.
Day of Incorporation Text
Please enter the day the company was incorporated.
Max length: 2 characters
Month of Incorporation Text
Please enter the month the company was incorporated.
Max length: 2 characters
Year of Incorporation Text
Please enter the year the company was incorporated.
Max length: 4 characters
Corporate Card Account Status
Corporate Card Account Status: Yes Checkbox
Check this box if your company currently has an American Express Corporate Card account.
Corporate Card Account Status: Currently Applying Checkbox
Check this box if your company is currently applying for an American Express Corporate Card account.
Corporate Card Account Status: No Checkbox
Check this box if your company does not have an American Express Corporate Card account and is not currently applying for one.
Main Corporate ID Number Number
Enter the highest level or main Corporate ID number for your company's American Express Corporate Card account.
Corporate Card Structure Incorporation
Corporate Card Structure Incorporation: Yes Checkbox
Check this box if the Business Travel Account(s) will be incorporated into your existing Corporate Card structure.
Corporate Card Structure Incorporation: No Checkbox
Check this box if the Business Travel Account(s) will not be incorporated into your existing Corporate Card structure.
Corporate ID Number Text
Enter the Corporate ID number if the Business Travel Account(s) will be incorporated into an existing Corporate Card structure.
Data Privacy Opt-Out Instruction
My Opt-Out Instruction Checkbox
Check this box if you instruct American Express not to use your personal data for direct marketing purposes in relation to the product you are applying for.
e-Data Required
e-Data Required Monthly Checkbox
Tick this box if you require monthly e-Data.
e-Data Required Monthly & Daily Checkbox
Tick this box if you require monthly and daily e-Data.
e-Data Required Monthly & Weekly Checkbox
Tick this box if you require monthly and weekly e-Data.
Entity Type
Public Company (Listed) Checkbox
Select this option if your entity is a Public Company that is listed.
Public Limited Company Checkbox
Select this option if your entity is a Public Limited Company.
Private Limited Company Checkbox
Select this option if your entity is a Private Limited Company.
Limited Liability Partnership Checkbox
Select this option if your entity is a Limited Liability Partnership.
Sole Trader Checkbox
Select this option if your entity operates as a Sole Trader.
Public Sector Checkbox
Select this option if your entity belongs to the Public Sector.
Government Body Checkbox
Select this option if your entity is a Government Body.
Corporation Checkbox
Select this option if your entity is a Corporation.
Partnership Checkbox
Select this option if your entity is a Partnership.
Unincorporated Bodies Checkbox
Select this option if your entity is an Unincorporated Body.
Associations Checkbox
Select this option if your entity is an Association.
Trust Checkbox
Select this option if your entity is a Trust.
Clubs Checkbox
Select this option if your entity is a Club.
Societies Checkbox
Select this option if your entity is a Society.
Registered Charity Checkbox
Select this option if your entity is a Registered Charity.
Religious Bodies Checkbox
Select this option if your entity is a Religious Body.
Institutes Checkbox
Select this option if your entity is an Institute.
Other Checkbox
Select this option if your entity type is not listed above.
Other Entity Type Text
Please specify the entity type if it is not listed among the provided options.
Existing @Work User ID
Existing @Work User ID Text
Please provide your existing @Work User ID.
Existing @Work User ID Text
Enter your existing @Work User ID.
Existing @Work User ID Question
Existing @Work User ID Yes Checkbox
Check this box if you have an existing @Work User ID.
Existing @Work User ID No Checkbox
Check this box if you do not have an existing @Work User ID.
General
Signature1 Signature
Link to Cobrand Hierarchy
Link to American Express Cathay Pacific Cobrand Hierarchy Checkbox
Check this box to link to an American Express Cathay Pacific Cobrand Hierarchy.
Market Segment and Industry Code
Large Market Checkbox
Select this option if the market segment is a large market.
Middle Market Checkbox
Select this option if the market segment is a middle market.
Primary Industry Checkbox
Select this option if the market segment is categorized as a primary industry.
Primary Industry SIC Code Text
Please enter the Standard Industrial Classification (SIC) code for the primary industry.
New User Authentication
Verification Word Text
Enter a verification word consisting of a minimum of 4 and a maximum of 20 alpha-numeric characters, lower case only, with no spaces or special characters.
Max length: 20 characters
Verification PIN Text
Enter the 4-digit numeric verification PIN.
Max length: 4 characters
New Verification Word
New Verification Word Text
Please enter your new verification word, which must be between 4 and 20 alphanumeric characters, in lowercase only, with no spaces or special characters.
Max length: 20 characters
Office Use Codes - Row 1
Office Use Code Row 1 SIX Text
Enter the SIX code for office use.
Office Use Code Row 1 Revision Indicator Text
Enter the revision indicator code for office use.
Office Use Code Row 1 MAC Code Text
Input the MAC (Machine Access Code or similar) for office use.
Office Use Code Row 1 Application Code 01 Text
Provide the application or approval code 01 for office use.
Office Use Code Row 1 Member Since Text
Enter the code indicating the member's joining date for office use.
Office Use Codes - Row 2
Office Use Code Row 2 - 3763-76 Text
Enter the specific office use code identified as 3763-76.
Office Use Code Row 2 - BCH/JD Text
Enter the BCH/JD code for office use.
Office Use Code Row 2 - FFE Code Text
Enter the FFE Code for office use.
Office Use Code Row 2 - SUND VIA Text
Enter the SUND VIA code for office use.
Online Program Access Level
Standard Report Checkbox
Check this box if you would like to have access to the Standard Report for Online Program Management.
Customised Reporting Checkbox
Check this box if you would like to have access to Customised Reporting for Online Program Management.
Online Program Enrollment
Online Program Enrollment Yes Checkbox
Check this box if you would like to enrol for @ Work Online Program Management.
Online Program Enrollment No Checkbox
Check this box if you would not like to enrol for @ Work Online Program Management.
Parent Company Details
Parent Company Name Text
Enter the full legal name of the parent company.
Parent Company Address Text
Provide the full registered address of the parent company.
Parent Company Telephone Number Text
Enter the telephone number of the parent company.
Primary Statement Recipient Details
Primary Recipient Name Text
Enter the full name of the primary statement recipient.
Primary Recipient Email Text
Enter the email address for the primary statement recipient to receive notification emails.
Primary Recipient Phone Number Text
Enter the phone number of the primary statement recipient.
Primary Recipient Address Line 1 Text
Enter the first line of the primary statement recipient's address.
Primary Recipient Address Line 2 Text
Enter the second line of the primary statement recipient's address.
Program Administrator's / Reporting Recipient's Details
Program Administrator's / Reporting Recipient's Name Text
Please provide the full name of the program administrator or reporting recipient, including any title (Mr/Ms).
Position Text
Please provide the position of the program administrator or reporting recipient.
Address Text
Please provide the full address of the program administrator or reporting recipient.
Telephone Number Text
Please provide the telephone number of the program administrator or reporting recipient.
Fax Number Text
Please provide the fax number of the program administrator or reporting recipient.
Email Address Text
Please provide the email address of the program administrator or reporting recipient.
Purpose of Credit
1st Day-to-Day Business Expense Checkbox
Check this box if the purpose of credit is for general day-to-day business expenses.
2nd Cash Flow Needs Checkbox
Check this box if the purpose of credit is to meet cash flow needs.
3rd Travel and Entertainment Checkbox
Check this box if the purpose of credit is for travel and entertainment expenses.
4th Tax Payments Checkbox
Check this box if the purpose of credit is for making tax payments.
5th Others Checkbox
Check this box if the purpose of credit falls into a category not listed above.
Sales and SID Codes
Sales Code Text
Please enter the sales code.
SID Code Text
Please enter the SID code.
Sales Database ID
Sales Database ID Text
Enter the unique identifier for the sales database.
Primary Industry SIC Code Text
Enter the Standard Industrial Classification (SIC) code for the primary industry.
Salesperson Contact
Salesperson Name Text
Please provide the full name of the American Express salesperson.
Salesperson Telephone Number Text
Please provide the telephone number of the American Express salesperson.
Signature Date
Signature Date Day Number
Please enter the day of the signature date.
Max length: 2 characters
Signature Date Month Number
Please enter the month of the signature date.
Max length: 2 characters
Signature Date Year Number
Please enter the year of the signature date.
Max length: 4 characters
Travel Agent Details
Travel Agent Name Text
Enter the full name of your travel agent.
Travel Agent Address Text
Provide the complete address of your travel agent.
Travel Agent Code Text
Enter the unique code assigned to the travel agent.
Max length: 2 characters
Travel Office Code Text
Enter the code for the travel office.
Max length: 6 characters
Travel and Spend Estimates
Number of People Traveling Regularly Text
Enter the approximate number of people who travel regularly.
Annual Estimated Air Spend Number
Enter the annual estimated spend in HK dollars for air travel.
Max length: 14 characters
Annual Estimated Other Spend Number
Enter the annual estimated spend in HK dollars for other expenses.
Max length: 14 characters
Annual Estimated Total Spend Number
Enter the total annual estimated spend in HK dollars.
Max length: 14 characters
Verification Pin
Verification Pin Number
Enter the verification pin.
Max length: 4 characters