DECLARATION BY INDIVIDUALS
To
SBI Cards & Payments Services Put. Lid.
Post bag No. 1, DLF Qutab Enclave Post Office Sign across the
Gurgaon- 122 002, Haryana Photo
Dear Sir,
My Credit Card No. | LLLUILL
I hereby confirm my current address and permanent address os below, and am attaching o seff attested copy of a photo id,
address proof, and o recent photograph as required per letter overleaf.
Nome []mrL]Ms. First Name} Middle Name | Lu |
Sur Name
Current Residence
Address
city Pincode
Residence Ph. No. | Litt
Permanent Residence
Address
City | Pincode
Office Address
|
city Pincode
Office Ph. No. LLLELIILII Mobile No. |_| 1B
E-mail ID lL
The income Tax Permanent Account Number as recorded for my Account is |_| |
Self Attested Photo ID proof (Please tick as appropriate)
[1 Passport [1 Voter's Card [] Driving Licence [ Pan card [J ulD/Adhaar Card
Self Attested Address proof (Please tick as appropriate)
(| Passport (J Voter's Card (J Driving License (Front & Back Copy)
[1] ulD/Adhaar Card [| Letter Issued by UID of india containing details of Name, Address & Adhaar no. (€-Adhaar}
Please make my mailing address as Residence |_| Office
| also confirm thot the attached photograph and the copies of identification documents are presently valid and true
verification Documents of myself.
| wil notify SBI Cards, as and when there is a change in my residence/office address, by giving a request olong with required
documents.
Signature of the Credit Cardholder Date:
Mail declaration along with KYC Documents at:
SBI Cards & Payment Services Pvt. Ltd.
Post Bag No. 1, DLF Qutab Enclave Post Office, Gurgaon 122 002, Haryana
You can email the documents to = kyerenewal@sbicord. com