Temporary-Corporate-Card-Limit-Amendment-Request-Form

PURPOSE OF THIS FORM

For the authorised officers of the below named facility to request the Catholic Development Fund (CDF) to arrange for an amendment to the limit of the CBA Corporate Card. This form also acts as authorisation to increase the Facility Limit if necessary.

INSTRUCTIONS FOR COMPLETION

This form is required to be completed each time an alteration to the limit of the Corporate Card is requested.
The form must be completed in full before forwarding to the CDF.

SECTION 1 – CARDHOLDER INFORMATION

Please accept this as our authority to amend the limit for the following Credit Card:

Client Name*

Member No*

Facility Name*

Facility Number*

Current Monthly Card Limit ($)*

New Monthly Card Limit ($)*

Facility limit*

Increase to be approved under our existing Facility limit.

Facility Limit to be increased.

Transaction Limit ($)*

MCC Blocking* Code*

Date Effective*

Date to Revert*

Cash Access*

Yes, able to withdraw cash.

No, not able to withdraw cash.

SECTION 2 – CARDHOLDER INFORMATION AND ACKNOWLEDGEMENT

Full name of Cardholder*

Date of Birth*

Residential Address (PO Box not acceptable)*

Mobile Number*

Email Address*

I, the above listed cardholder acknowledge the following:

The CBA MasterCard provided to me is for work related expenses and is not available for my personal use.
I will be held personally liable for any transactions deemed non work related expenses by the facility holder.
The facility holder reserves the right to revoke and/or cancel my Corporate Card at any time.
The CBA Corporate Card Terms and Conditions must be adhered to at all times.

Wet Ink Specimen Signature*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Upload a scan or photo of the wet ink specimen signature (JPG, PNG or PDF). Digital signatures are not accepted.

Date*

SECTION 3 – AUTHORISATION

We, the below listed authorised officers, hereby authorise the Catholic Development Fund to amend the limit of the Corporate Card for the individual listed in Section 2 to be issued under the facility specified in Section 1. We further authorise for the below listed account to be deducted for any expenses incurred on the Corporate Card.

Account Name*

Account No*

Name Authorised Person 1*

Name Authorised Person 2*

* Digital signatures are not accepted. Form to be authorised with wet ink signatures.

Wet Ink Signature of Authorised Person 1*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Upload a scan or photo of the wet ink signature (JPG, PNG or PDF). Digital signatures are not accepted.

Wet Ink Signature of Authorised Person 2*

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB.

Upload a scan or photo of the wet ink signature (JPG, PNG or PDF). Digital signatures are not accepted.

Date (Authorised Person 1)*

Date (Authorised Person 2)*

TEMP CORP CARD LIMIT AMEND 2026/09

Temporary-Corporate-Card-Limit-Amendment-Request-Form