Citizenship & Employment Visa Confirmation

I,……………………………………, have applied for a job opportunity in Citi India and declare the following
information regarding my Citizenship status:

I am an Indian Citizen: Yes

No

If the response is No, please give details (Country of Citizenship and Employment Visa documents for
work authorization in India):

________________________________________________________________________________

________________________________________________________________________________

I hereby undertake that the above mentioned information is true to the best of my knowledge and any
change in the same, will be intimated to Citi India.

I also understand that this information holds no prejudice against any individual and is in accordance
with the RBI guidelines with regard to employment of foreign nationals/Citizens.

Name:
Date:

Signature: