CUSTOMER PROFILE UPDATE FORM

1

NAME
First Name

Kindly fill in BLOCK LETTERS only

Primary Holder
Middle Name Last Name

Nationality Joint Holder 1 Nationality Joint Holder 2 (if any)
First Name Middle Name Last Name (if any) First Name Middle Name Last Name

Nationality Joint Holder 3 (if any)
First Name Middle Name

Last Name

Nationality

2 ACCOUNT NUMBERS
Account Number

3

EMPLOYMENT INFORMATION
JOINT HOLDER 1 (Please tick one)  Home Maker  Business Owners*  Others*  Salaried  Student  Retired  Unemployed  Home Maker  Business Owners*  Others*  Retired  Unemployed

PRIMARY HOLDER (Please tick one)  Salaried  Student

 Self-Employed Professional*

 Self-Employed Professional*

*(Please specify)__________________________________________ JOINT HOLDER 2 (Please tick one)  Salaried
KYC/2.0/27-06-13

*(Please specify)__________________________________________ JOINT HOLDER 3 (Please tick one)

 Retired  Unemployed

 Home Maker  Business Owners*  Others*

 Salaried  Student

 Retired  Unemployed

 Home Maker  Business Owners*  Others*

 Student

 Self-Employed Professional*

 Self-Employed Professional*

*(Please specify)__________________________________________

*(Please specify)__________________________________________

Please Note: We may call you if the information provided in this form is missing or incomplete.

4

PHOTOGRAPHS

Primary Holder

Joint Holder (1)

Joint Holder (2)

Joint Holder (3)

I/We hereby submit a self-attested photocopy of the documents. I/We also hereby confirm that the attached copies of identification documents are the current true identities of myself/ourselves and the identity documents is / are valid as on date. Signature to be as per the bank records and signature rules in the account:

Signature of Primary Holder

Signature of Joint Holder 1

Signature of Joint Holder2

Signature of Joint Holder 3

Date: D D M M Y Y Y Y
1

For list of acceptable documents, please see overleaf.

you are required to furnish a separate instruction for changing the address to the Bank). the stamp and signature of the official is optional. Electricity Bill.List of acceptable documents : IDENTITY PROOF (Any one of below documents)  Pan Card  Driver's License  Voter's ID Card  Passport  Aadhaar Letter  One recent colour passport size photograph is mandatory ADDRESS PROOF (Any one of below documents)  Valid Passport / Driver's License  Utility Bill not more than 3 months old with name and address (Landline Telephone bill. 2 . However if this statement is a computer generated. not more than 3 months old. documents to be provided in the name of the guardian (In case your current address is different from the address maintained in Citibank records. Note : For minor accounts. Water or Gas Bill)  Food Card (Ration Card)  Lease Deed/ Rent agreement Copy/ Property Registration Document in the name of the Customer  Bank account statement printed on bank's letterhead. mobile bill. signed and stamped by existing banker.