Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano Tel: +41 91 800 41 41, Fax: +41 91 800 55 66, info@cornercard.ch, cornercard.ch Page 1 of 4

Application

3. Information for Supplemental Card

With photo

Please enclose current color passport photo (write your name on back of photo)

2. Occupation/Financial Situation

Employed Self-Employed Retired Student/Apprentice

Employer since

Occupation/position Phone

Address

Gross yearly income CHF Flat/home Rented Own home Annual rent/home loan CHF LSV/debit direct(Mandatory information pursuant to KKG Art. 30) For direct payments via your bank

7 *The applicant understands that the card issuer reserves the right, for reasons of credit rating, to issue a Cornèrcard British Airways Classic instead of the requested Cornèrcard British Airways Gold.

1. Personal Information

I would like my name to appear as follows (first/last name): (max 20 characters incl. spaces; no accents/umlauts)

Mr. Ms. Correspondence in: German French Italian

Last/first name

Street/No. ZIP code/place

At this address since Date of birth Place of birth Nationality

Phone (home) Cell phone (Mandatory information)

E-mail Marital status(Mandatory information)

Number of minors For foreigners: type of work permit C B G L since In Switzerland since (please send us a copy)

I would like my name to appear as follows (first/last name):(max 20 characters incl. spaces; no accents/umlauts)

Mr. Ms. Last/first name

Date of birth Place of birth Occupation

Nationality Cell phone E-mail (Mandatory information) (Mandatory information)

For foreigners: type of work permit C B G L since Gross yearly income CHF LSV/debit direct(please send us a copy) (Mandatory information pursuant to KKG Art. 30) For direct payments via your bank

I am already the holder of a principal card No.:

Spouse Partner Daughter/son (minimum age: 16)

Important: Please print, complete in full and return.

With photo

Please enclose current color passport photo (write your name on back of photo)

Cornèrcard British Airways Gold (MasterCard World) with an annual fee of CHF 220

Cornèrcard British Airways Classic (MasterCard World) with an annual fee of CHF 140

I hereby apply to receive a Cornèrcard British Airways card with joint and several liability for the following person living at my home address:

Cornèrcard British Airways Gold (MasterCard World) with an annual fee of CHF 130

Cornèrcard British Airways Classic (MasterCard World) with an annual fee of CHF 85

Are you already an Executive Club member?

Yes, I am an Executive Club member: My membership number (8 digits)

* Offer valid until 30.03.2015.

21/330/AU2

22/330/AU3

Gold: 21/329/AU4 Classic:

22/329/AU5

No annual fee in the first year*

Welcome bonus: 10,000 Avios

Welcome bonus: 5,000 Avios

Welcome bonus: 10,000 Avios

Welcome bonus: 5,000 Avios

Yes, I hereby apply for the following card available starting from 15.12.2014:

Is this person already an Executive Club member?

Yes, she/he is an Executive Club member:

The membership number (8 digits)

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano Tel: +41 91 800 41 41, Fax: +41 91 800 55 66, info@cornercard.ch, cornercard.ch Page 2 of 4

4. Optional Features

Onlineaccess (E-mail address required) free (M48)

Mobileaccess (Mobile telephone number required) CHF 0.20-0.50/SMS (A19)

Travel Insurance: Individual coverage Annual premium: CHF 35 (O97)

Travel Insurance: Family coverage Annual premium: CHF 49 (O97)

Private and Motor Legal Protection Insurance: Individual coverage Annual premium: CHF 175 (M65)

Family coverage Annual premium: CHF 230 (M65)

Flight Accident Insurance (individual coverage) Annual premium: CHF 45 (O99)

Provisions for Optional Insurance Coverage and Scope of Application: Insurance benefits apply only as set forth in the General Terms of Insurance (GTI), for Travel Insurance, for Private and Motor Legal Protection Insurance and for additional Flight Accident Insurance available for review at cornercard.ch/e/gt and enclosed with the letter of coverage confirmation.

Principal Card Supplemental Card

5. Marketing Informations (British Airways)

Note: You agree to receive such information unless expressly denied by you.

I choose to receive special offers and other news from the British Airways Group or on behalf of selected partners of British Airways Group.

I do not wish to receive special offers and news from the British Airways Group or their selected partners.

8. Declaration* I hereby certify that the information provided in this application is accurate. I confirm that I have received and understood, and recognize as binding, the below printed extract from the General Terms and

Conditions («GTC») for the MasterCard Classic and Gold Cards, issued by Cornèrcard. I hereby authorize Cornèr Bank AG (hereinafter, the «Bank») to refuse this application without statement of grounds. Upon acceptance of this card application I will receive the cards applied for, a copy of this card application together with the Credit Option Agreement, the complete GTC (available online at any time at cornercard.ch, or by telephone request by calling +41 (0)58 880 88 01) and, as a rule, my individual PIN code. In addition, I will receive a copy of the respective insurance conditions of those insurance policies that are included in the British Airways MasterCard Card, either automatically and free of charge, or upon request and at a fee. The respective premiums will be charged to my card automatically. CTC’s and insurance conditions may be consulted at any time at cornercard.ch/d/agb, or may be ordered by telephone by calling +41 (0)844 00 41 41. The use and/or signing of the card shall constitute confirmation that I have received and understood, and accepted in their entirety, the complete GTC and the respective insurance conditions.

Prices, interest and fees: Prices, interest, and fees may be charged to my account for the card, and for the use and administration thereof. These will be made known to me in the form of a «Prices, Interest, and Fees» schedule, together with the present card application and/or in other suitable form, and may be consulted online at cornercard.ch/d/preise or requested by telephone by calling +41 (0)844 00 41 41. In addition, third-party costs may be passed on to me and charged to my account, and I may be charged for any expenses I may have caused. I hereby declare my unconditional acceptance of these prices, interest and fees. In the event that I apply for an additional Cornèrcard product or choose to change to a different product, the special annual or membership fees to which that specific product is subject, a copy of which may be consulted or ordered at the contact address or numbers given above, shall apply.

Exchange rates: Purchases made in foreign currencies will be converted at the retail exchange rate of the Bank at the date on which the charge is processed, and subject to an additional processing fee. Authorization: I hereby authorize the Bank to store, process, use, and analyze my agreement and transaction information, in order to establish customer profiles and to dispose of them for marketing and market research purposes. This will make it possible for the Bank to provide me with individual counseling and facilitate the sending of tailored offers by the Bank and of further information on its products and services.

Cooperation with partner companies and transmission of data: I take note of the fact that the Bank has contractual relationships with partner companies that provide special services via the credit card product I have chosen. I therefore authorize the Bank to transmit to such partner companies, specifically British Airways PLC («BA») and Avios Group Limited, Astral Towers, Betts Way, London Road, Crawley, West Sussex RH10 2XA, United Kingdom) («AGL»), which are responsible for the Avios points program of the British Airways Executive Club, such personal, card, and transaction data as may be necessary in the administration, processing, and settlement of Avios point program accounts. I take note, and accept, that these partner companies decide in accordance with their own general terms and conditions of business whether, and which, additional services are to be performed.

British Airways Executive Club and Avios Point Program: In the event that I am not yet a member of the British Airways Executive Club, I hereby apply, simultaneously with this card application, for acceptance as a member of that Club. To this end, my contact information (last name, first name, address, e-mail address, phone number) will be transmitted to BA and/or AGL. I take note, and accept, that the decision on my acceptance as a member of the British Airways Executive Club will be made exclusively by BA, and that services provided within the framework of the Avios program – i.e., the awarding and redemption of Avios points – are subject to the Terms and Conditions (incorporating the Conditions of Use) of the British Airways Executive Club (“BA Terms and Conditions”), which may be consulted on, or downloaded from, the British Airways website at any time: http://www.britishairways.com/en-gb/executive-club/terms-and-conditions. Avios points may be obtained for card transactions, whereby no Avios points are awarded for the following transactions: (i) credits to the card account, (ii) cash withdrawals, (iii) annual fees, (iv) reminder fees, etc., (v) the default interest, (vi) fees on gambling transactions, (vii) amounts charged twice, in full or in part, on the same monthly statement. The conversion rate for Avios points is 2 CHF = 1 Avios point and 2 CHF = 2 Avios points for purchases made at www.ba.com. The Bank takes care of the calculation of Avios points on the basis oft he applicable BA Terms and Conditions and forwards it to AGL. The Bank is however not responsible for the effective credit of Avios Points in the Executive Account managed exclusively by AGL. The use and/or signing of the card shall constitute further confirmation that I have consulted and understood, and accepted in their entirety the terms and conditions of membership of the British Airways Executive Club.

6. Identification of the beneficial owner (Form A as per art. 3 and 4 CDB). Required by law

As the principal cardholder/applicant, I declare that the money used to settle the monthly statement for the principal card and the supplemental card and/or any other money paid to the credit card issuer above the settlement amount (check appropriate box):

is solely mine or belongs to the following person(s): Last/first name (or company) Date of birth Place of birth Nationality Address/domicile Country

For the principal card

For the supplemental card (if applicable)

As the principal cardholder/applicant, I undertake to inform the credit card issuer, of my own accord, of any changes. Willfully entering false information on this Form A is a criminal offense. (Art. 251 of the Swiss Penal Code, document forgery; penalty: imprisonment for up to five years or a fine)

Important: must be completed

7. For U.S. persons only (circumstantial evidence: green-card holder, US citizen, residence/place of birth/other address in the USA)

As applicant of the principal card, I hereby confirm that I am to be qualified as a U.S. person within the purview of the legal provisions of the IRS (Internal Revenue Service, U.S. Department of the Treasury).

As applicant of the supplemental card, I hereby confirm that I am to be qualified as a U.S. person within the purview of the legal provisions of the IRS (Internal Revenue Service, U.S. Department of the Treasury).

12.2014

By signing this document, I declare that I acknowledge and understand the information cited herein.

Place and date * Signature of the principal card applicant

Place and date * Signature of the supplemental card applicant

9. Signature

**

* Bei Cornèrcard British Airways Gold bereits kostenlos inbegriffen

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano Tel: +41 91 800 41 41, Fax: +41 91 800 55 66, info@cornercard.ch, cornercard.ch Page 3 of 4

Excerpt from the General Terms and Conditions for Classic and Gold Visa and MasterCard Cards from Cornèr Bank Ltd.

Use of the card/monthly statement/responsibility: The cardholder ack-nowledges the validity of the transactions executed with the card (with or without the personal PIN) or card details (including without signature or use of the PIN) and expressly and irrevocably authorizes the Bank to transfer the amounts resulting from these transactions to the relevant affiliated merchant or authorized bank. Cornèr Bank Ltd. (hereinafter referred to as “the Bank”) will not be responsible or liable for any transactions carried out using the card. The principal cardholder shall be jointly and severally liable for ensuring compliance with all obligations arising from the use of supplemental or additional cards, even if the holders of these cards are invoiced separately.

Insurance mediation and data protection: The cardholder acknowledges that the respective insurer alone is liable for any errors, negligence, or incorrect informa-tion in connection with the insurance contracts it provided. His personal data shall be treated as confidential. The Bank shall comply with the requirements of the data protection legislation in the processing and storage of personal data. The Bank may commission third parties in Switzerland to process the card application and handle the issue of the card and transactions, where allowed under Swiss law and subject to assurance of appropriate data protection. Personal data made available in connection with any insurance may be passed on to the insurers and shall be processed by the Bank and the insurers exclusively for the purpose of concluding and administering the insurance contract and in the event of a claim. Personal data may be disclosed to authorized third parties and/or other Group companies for the purpose of processing the insurance contract. Data may be transferred to a third country if this country provides for equivalent data protection (recognized as such by applicable data pro-tection legislation). Personal data is stored in electronic form and/or paper form. The cardholder acknowledges that, under the data protection legislation, he may claim entitlements to information and, on certain conditions, request correction, blocking, or deletion of certain data stored at the Bank.

Applicable law and place of jurisdiction: All legal relations between the holder of a principal, supplemental, or additional card and the Bank will be governed by and construed in accordance with Swiss law. Lugano will be the place of performance, the place of debt enforcement for holders of a principal, supplemental, or additional Card residing abroad, and the exclusive place of jurisdiction for all disputes, subject to mandatory provisions of Swiss law. The Bank will, however, also have the right to take legal action against the holder of a principal, supplemental, or additional card in the competent court of his place of residence or in any other competent court. Excerpt GTC – 07.2014 edition

Credit option agreementbetween Cornèr Bank Ltd., Via Canova 16, 6901 Lugano (hereinafter called “Bank”) and the cardholder

1. Credit option and interestThe credit option shall enable the holder of a principal or supplemental card (hereinafter called the “Cardholder”) to pay the amount shown on the relevant monthly statement in installments, for transactions which are effected after expiration of the revocation deadline (see item 3 below). In such cases, the Bank shall receive the minimum amount, corresponding to 5% of the total billed amount, subject to a minimum of CHF 100, by the date stated on the monthly statement. Any payment arrears must also be settled immediately. If the Bank is not in possession of the required payment by the stated date, or if the total is less than the prescribed minimum, the Cardholder shall be dee-med in default in respect of the whole balance, without further warning, with all legal consequences in this regard. On default of the Cardholder, the total balance of any other account statements in the name of the same Cardholder shall also immediately fall due for payment. Any excesses of the spending limit shall be settled immediately. The annual interest rate charged on arrears shall be dependent on the Cardholder’s payment behavior and recoverable to a maximum of 15%. A part payment shall initially be credited against the interest claim.

2. Check of creditworthiness, spending limit and overall limitThe spending limit shall be set on the basis of the check of creditworthiness and notified to the Cardholder with the copy of this document sent with the credit card. It shall be subject to a maximum of 15% (for Classic cards) or 20% (for Gold cards) of the annual income stated in the card application, or fractions thereof. As a rule, the maximum amount shall be limited to CHF 10,000 (for Classic cards) or CHF 90,000 (for Gold cards). The check of creditworthiness shall be conducted on the basis of the cardholder information given in the card application. This and the credit history shall be checked by inquiries to the Consumer Credit Information Center (IKO) and the Central Office of Credit Information (ZEK). Additional information may be obtained, as applicable, from public offices or from the Cardholder’s employer or banks. The spending limit set for the holder of a principal card shall apply as an overall limit for all his/her principal and additional cards. Thus the total of all card transactions shall not exceed this overall limit. Likewise the spending limit set for the holder of one supplemental card shall apply to all his/her supplemental cards. The Bank reserves the right to amend the spending limit at any time, by due written notice to the Cardholder. The Cardholder shall immediately inform the Bank of any worsening of his/her economic circumstances.

3. Revocation and notice of terminationThe Cardholder shall be entitled to give written notice of termination of this credit agreement within seven days of receipt of the duplicate of this document. The Bank shall be entitled, at any time, to give 30 days’ written notice of termination of a credit option. Otherwise the present credit agreement shall end on expiration of the credit card contract.

4. MiscellaneousAmendments of the present credit agreement shall require written form in order to be effec-tive. Otherwise the current General Terms and Conditions for the Classic and Gold Visa and MasterCard of Cornèr Bank Ltd. shall apply. These shall be sent to the Cardholder with the copy of the card application, the credit agreement and the card (and can be viewed at cornercard.ch or ordered by telephone on +41 (0)844 00 41 41.

Version 06.2013

By signing this document, I declare that I acknowledge and understand the information cited herein.

Place and date * Signature of the principal card applicant

Place and date * Signature of the supplemental or additional card applicant

Signature

Cornèr Banca SA, Cornèrcard, Via Canova 16, 6901 Lugano Tel: +41 91 800 41 41, Fax: +41 91 800 55 66, info@cornercard.ch, cornercard.ch Page 4 of 4

By signing this document, I declare that I acknowledge and understand the information cited herein.

Place and date * Signature of the principal card applicant

Place and date * Signature of the supplemental or additional card applicant

Signature

Explanatory notes on insurance.

Travel insuranceTravel insurance is included at no charge for Gold cardholders. AGA International S.A., Paris, Wallisellen branch (Switzerland), Hertistrasse 2, 8304 Wallisellen, Switzerland, is the insurance carrier for travel insurance.Insurance coverage: Travel cancellation; delayed travel departure; discontinued travel or early return; pro-rata refund of stay-related expenses; additional expenses at destination; search and rescue costs including transportation; repatriation or return journey in the event of medical necessity; advance on costs; deductible waiver for rental cars (CDW).Upon occurrence of the insured event, owed cancellation charges or documented additional expenses (in the event of delayed departure) will be refunded.Commencement and duration: Gold: Coverage begins as soon as Cornèrcard has issued the card and the cardholder is in possession of the card. The insurance is valid as long as the cardholder is in possession of a valid card. Classic: Coverage begins as soon as the registration has been received by Cornèrcard and is concluded for a period of one year. Unless the insurance is terminated at least two months prior to expiration, it will be extended tacitly for another year. If the card is canceled in writing, coverage shall end when the card expires.Conditions: Insurance applies provided at least 51% of the travel arrangements/car rentals have been paid for in advance with the Cornèrcard.Annual premium: Gold: Free. Classic: Individual coverage: CHF 35; family coverage: CHF 49.Benefits: Gold: Family coverage of up to CHF 40,000 per insured person and event.Classic: Individual coverage: up to CHF 10,000 per insured event; family coverage: up to CHF 10,000 per insured person; up to CHF 40,000 per insured event.

Excerpt GTI 01.2014 – 01.2014 edition

Private and motor legal protection insurance CAP Legal Protection, Special Business, P.O. Box, 8010 Zurich, Switzerland, is the insurance carrier for private and motor legal protection insurance.Insurance coverage: Legal advice from CAP and costs related to expert and legal opinions, court, arbitration and mediation costs, bonds, customary attorney’s fees, indemnification and travel expenses related to summons outside the canton of domicile in the event of: labor disputes with the employer; tenancy disputes with the landlord; neighbor disputes; disputes arising in connection with other agreements concluded by the Insured as a private individual; defense in proceedings resulting from negligence claims; in administrative proceedings resulting from motor vehicle violations; tort law and reparation; legal advice in personal, family, divorce, and estate law.Commencement and duration: Coverage begins as soon as the application has been received by Cornèrcard and is concluded for a period of one year. Unless the insurance is terminated at least two months prior to expiration, it will be tacitly exten-ded for another year. If the card is canceled in writing, coverage shall end when the card expires.Condition: Domicile in Switzerland, in the Principality of Liechtenstein, or in the enclaves of Büsingen am Hochrhein (DE) or Campione d’Italia (IT).Annual premium: Individual coverage: CHF 175; family coverage: CHF 230.Benefits: Legal advice from CAP; cash compensation up to CHF 250,000 per claim; up to CHF 50,000 when the court of jurisdiction or applicable law is outside the EFTA/EU; CAP can be released from its obligation to pay benefits through financial compensation of the damage or loss.

Excerpt GTI 01.2014 – edition 01.2014

Flight accident insurance ACE Insurance (Switzerland) Limited, Bärengasse 32, 8001 Zurich, Switzerland, is the insurance carrier for flight accident insurance.Insurance coverage: Flight accidents when traveling on an air carrier; accidents when traveling on a public carrier (bus, taxi or train) authorized to transport pas-sengers from or to an airport, in direct connection with an insured flight.Commencement and duration: Coverage begins as soon as the registration has been received by Cornèrcard and is concluded for a period of one year. Unless the insurance is terminated at least two months prior to expiration, it will be extended tacitly for another year. If the card is canceled in writing, coverage shall end when the card expires.Conditions: Insurance applies worldwide provided at least 51 % of all costs of air travel have been paid for in advance with the Cornèrcard.Annual premium: Individual coverage: CHF 45.Benefits: In the event of death: CHF 500,000; in the event of permanent disability:up to CHF 500,000.

Excerpt GTC – 07.2014 edition

Excerpt – version 11.2014Complete table: cornercard.ch/e/preise* Co-branded prepaid and credit card list and prices: cornercard.ch/d/preise

Excerpt from “Preise, Zinsen und Gebühren” tableVisa/MasterCardClassic and Goldcredit cards

Classic(Traditional, Zoom, Futuro, Cancellara,

Rolf Knie, Art Collection, Access,

Fairtransplant)

Gold(Traditional,Fairtrans-

plant)

Miles& MoreClassic

Miles& More

Gold

Ferrari Fan Card

Classic

GolfClassic

LadyClassic 

BritishAirwaysClassic 

BritishAirways

Gold

Co-Brandedcredit cards*

Classic

Co-Branded credit cards*

Gold

Mobile

Annual sub. principal cards CHF 100 CHF 190 CHF 140 CHF 220 CHF 150 CHF 160 CHF 120 CHF 140 CHF 220from CHF 0to CHF 800

from CHF 0to CHF 800

CHF 35

Annual sub. supplementar cards CHF 50 CHF 100 CHF 85 CHF 130 – CHF 110 CHF 60 CHF 85 CHF 130 –

Annual sub. additional cards CHF 25 CHF 50 CHF 85 CHF 130 CHF 75 – CHF 60 – – –

Enrollment charge – CHF 150 – CHF 150 – – – – CHF 150 – CHF 150 –

Visa/MasterCardprepaid cards

Reload, Zoom, Futuro, Cancellara, Access

Ferrari Fan Card

Lady Carteprepagate

Co-Branded*

easyTravel Mobile

Annual subscription feeCHF 50

(CHF 25 up to the age of 26)CHF 75 CHF 60

from CHF 0to CHF 500

CHF 35/EUR 25/USD 30

CHF 25