DECLARATION

DATE:

The Manager,
HDFC Bank Cards Division,
P.O.Box 8654,
Thiruvanmiyur P.O. ,
Chennai 600 041.

Subject : Your application Reference Number :___________________________(please quote your application

reference number)

I, .........................................do hereby declare that the details given below are correct to the best of my knowledge.
Permanent Residential address:
...........................................................................................................................................................................................
..................................................................
..............................................................City............................................................................................PinCode............
....................................Landmark......................................................... Mobile
Number...............................................TelephoneNumber.....................................

VERIFICATION
I ........................... .......................................do hereby declare that which is stated above is true to the best of my
knowledge and belief.Verified today the ...............................day of ....................................................
Place:....................................................

(Signature of declarant)