Smart Money Beneficiary Referral / Nomination Form

Please enter the required information below so we can contact your beneficiary & process the issuance of free SMART Money card.

Step 1: Enter Sender information (Abroad)

First Name :

Middle Name :

Last Name :

Contact Number 1:

Contact Number 2:

E-mail :

Sending Institution :

Step 2: Enter Beneficiary information (in the Philippines)

First Name :

Middle Name :

Last Name :

Address :

City / Province :

Zip Code :

Relationship to Sender :

Age :

Contact Number 1:

Contact Number 2:

Contact Number 3:

Email Address :

Step 3: Please remember...

Remember to tell your beneficiary about the Quick Pay service.
Remember to tell your beneficiary to expect a call from Smart to process their free Smart Money card.

I agree