Citi Bank Credit Card

Step 2 of 2

Residential Address

(Current Residential Address)

Pincode^*

House Number & Street / Road Name^*

Landmark & Area Locality^*

District & City^*

State^*

Proof of Address^*

Available

Not Available

Address Proof ^*

Present Office Address

Pincode^*

Office Door Number and Street / Road Name^*

Office Landmark & Area Locality^*

District & City^*

State^*

Additional Information

Do you have an existing Loan/Credit Card?^*

Yes

Father's Name^*

Mother's Name^*

Residence Landline Number

(Optional if you have Office landline)

Office Landline Number

(Optional if you have residence landline)

Employment Designation^*

Preferred mailing address:^*

Office

Residence

Aadhaar Number

(Optional)

Nationality^*

Are you a director/senior officer of Citibank and/or their Relative AND / OR director of other banks and/or their Relative?
Yes No

Director Name

Director Bank Name

Director Relationship

I Hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/Email address. ^*I have read the Authorization Statement , Know Your Credit Card , Card Member Terms and conditions and Most Important Terms and conditions and fully accept it and agree to be issued the Credit Card opted for by me.

^^From time to time, Citibank brings great products, offers & value addition to its customers. I authorize Citibank & its affiliates and/or partners to communicate these products and offers to me.

Click here for more details on the definition of such positions.

*Do you or your immediate family member/joint account holder or their immediate family members currently hold/have held/are being considered for a position as a senior public figure? Yes No

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Citi Bank Credit Card

Residential Address

Permanent Residential Address

Present Office Address

Additional Information