Citibank Group

International Personal Bank

388 Greenwich St, New York City,
New York, 10013, United States

Additional Account(s) Opening Form

Account Title:

Relationship No.: Date:

Customer No. (All Customers):

Type of account(s) Other Currencies

to be openedUS$ Account No.S$ Account No.Account No.
INTEREST-BEARING
CHECKING/MAXISAVE
SAVINGS
CHECKING
If you have an existing Citibank ATM card, please note this card will automatically be linked to the banking account(s) applied for herein
(if held under single signing condition) and your existing Citibank banking account(s), unless you instruct us otherwise, or if you do not
choose any of the options given below.
r I do not wish to use my existing Citibank ATM card to access this new account. Please do not link my existing Citibank ATM card to the banking
account(s) applied for herein.
r I would like to have an additional Citibank ATM card to access this new account. Please issue me with a new ATM card for the banking account(s)
applied for herein.
• Overseas ATM Usage at ATMs outside Singapore: Yes / No (Please circle one)
• Primary Account to be linked to ATM card__________________________________

By Signing below, I/We:

a) confirm that I/We have received a copy of your general terms and conditions governing the
account; b) agree to be bound by all the provisions of the same terms and conditions for the
account(s)

INSTRUCTIONS GIVEN BY WALK-IN CUSTOMERS

Customer’s Name:Customer’s Name:

Customer’s Signature:Customer’s Signature:

INSTRUCTIONS GIVEN THROUGH THE PHONE

Date: Time: Telephone Extension:

FOR BANK USE

A/C OPENED BY / DATE SIGNATURE VERIFIED BY / DATE CHECKED BY / DATE
Name Stamp & Name Stamp & Signature:
Signature:
POA : ____________________________________ [to capture signature on the newly created a/c(s)]
r
(if any) (Customer No.)

Note: The following questions apply to all account holders in the relationship.
No _ Do not open account
Is customer CRS documented(No Presumed status)? r Yes r
No _ Do not open account
Is customer domiciled in AAO permitted country? r Yes r

Deposit Insurance Scheme

Singapore dollar deposits of non-bank depositors are insured by the Singapore Deposit Insurance Corporation, for up to
S$75,000 in aggregate per depositor per Scheme member by law.
Foreign currency deposits, dual currency investments, structured deposits and other investment products are not insured.
©2021 Citibank. Citibank is a registered service mark of Citigroup Inc. Citibank Singapore Limited Co. Reg. No. 200309485K Printed on 09/2021