DECLARATION BY INDIVIDUALS To SBI Card & Payiment Services Pu. Lid. SBI Card (KYC renewal), DLF Cyber City, Tower C, Block 2, Building 3 DLF Infinity Towers, 12th floor, Gurgaon 122002 Dear Sir, MycreditcardNo, 26 4 @8L 43 1) fe or hereby confirm my current address and permanent address.as below, and am attaching a self attested copy of a photo id, address prool, and a recent phatograph as required per letter overleat. Nome “Ime. CIMs. First Name| PH) RAMEN p29 | Middle Nome Cw A AlD& Sur Name Cuphe par dm) Curent Residence + CIWAY OMIERAT KEI, Address* Ciy (MYABAN 11) Pincode [429° 74 ROUEN BLA PaRUL| ABET] Permanent Residence | AAC | HE | SUE | im L Address i im | titi ii | 1 ety LiL Pincode pi Mobile No gem 940 9 E-mail 1D PAN (Permanent Account Number) IRC? @1°$1)7. 5 14 Self Attested Photo ID proof (please tick as appropriate) Passport | Voter's Card. Driving Licence “LPAN Card ETD / Adhaar Card Self Attested Address proof (please tick as appropriate)" ©) Passport _ Voter's Card _ Driving Licence (Front & Back Copy) UID /Adhasr Card (]_Letter Issued by UlD of India containing details of Name, Address & Adhaar no. (EAdhaar) Overseas Citizen of India Card (QC!) issued by Government along with the passport to NRIs and P10s (In case of OCI only’ **Please check bodk side ofthe form for addtional documents | also confirm that the attached photograph and the copies of identification documents are presently valid and true verification Documents of myself. {will notify S8ICards, as and when there is a change in my residence/aflice address, by giving a request along with required documents. wu c fom apr Signature of the Credit Cardholder Date: Mail declaratian along with K¥C Documents at: SBI Card & Payment Services Pvt.Ltd SBI Card (KYC renewal), DLF Cyber City, Tower C, Block 2, Building 3 DLF Infinity Towers, 12th floar, Gurgaon 122002 You can email the documents to = kye.renewal@sbicard.com