Suvidha Account Movement

Date:
To,
The Manager
Citibank Suvidha
Citibank N.A.
New Delhi

SUB: Suvidha A/c Movement

Dear Sir,
1. I have a Citibank Suvidha Account No. with Citibank, Delhi. I request you to move it to the corporate
code of
Company Name:

CONVERGYS INDIA SERVICES PVT. LTD.

2. Please update my addresses as below:

Office Address: DLF ATRIA,_____________
JACARANDA MARG,
GURGAON
HARYANA
Ph# _0124 2563500 _______Ext._________

Residential Address:_____________________

______________________Ph#______________
Mobile No.:
91-________________________

3. I would like my Mailing Address as: (Please tick one)

Office Address

Residential Address

4. I would like to have the following sent across to me on the changed mailing address (as above) (Please
tick the relevant option):

New Debit Card & ATM PIN

New Cheque Book

Sincerely,
Employers Certification:
A/c Holder Name: ________________________

A/c Holders
Signature:

We confirm that the A/c Holder mentioned is in

employment with us.
Name of the Authorised Signatory:
_______________________________________
Signature &
Company Seal

For Bank Use Only:

Suvidha Account Movement

Reopening Approved By: _________________________________
Name and Seal:
_________________________________