CUSTOMER PROFILE UPDATE FORM

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

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.

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 conrm that the attached copies of identication 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.

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, mobile bill, Electricity Bill, 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, not more than 3 months old, signed and stamped by existing banker. However if this statement is a computer generated, the stamp and signature of the ofcial is optional. Note : For minor accounts, documents to be provided in the name of the guardian (In case your current address is different from the address maintained in Citibank records, you are required to furnish a separate instruction for changing the address to the Bank).