Thank you.
Please submit signed copy of the form along with copy of address proof and other documents as applicable to the below address:
Citibank N.A., Mail Room, ACROPOLIS,
9th Floor, New Door No.148 (Old No.68),
Dr. Radhakrishnan Salai, Mylapore,
Chennai – 600 004.
For further assistance, please visit NRI conversion blog here.
Personal details
Name as per passport
Country of residence( as your current legal status is non- resident)
Passport
Permanent Account Number(PAN)
Contact Details
Current/Residential Address
Permanent Address
Office/Alternate Address
Which of the addresses provided would you like to make your mailing address?
Employment Details
Transaction you expect to perform per month (INR) :
Other Details
Senior Public Figure Details
IMPORTANT INFORMATION ABOUT OPENING A NEW ACCOUNT WITH CITIBANKINDIA:
To help prevent money laundering and terrorist financing, our policies require us to obtain, record and verify the identity of each account applicant and will include a photo ID or other identifying documents. You acknowledge and hereby provide your consent that, during the application process, Citibank may verify your identify based on the information provided in the application form such as name, address, date of birth and other details, either against the original document(s) or by using information obtained from sources including but not limited to public records, other financial institutions, government authorities or credit reporting agencies. In the event that we are unable to complete such verification for any reason whatsoever including but not limited to cases not verified against original document(s), we will request you to either meet a Citibank IndiaofficerorgetthedocumentsattestedbytheIndianEmbassyorConsulateinyour country.
We will be unable to process your application without verification and reserve the right to reject the application in our sole discretion without any liability or responsibility. We appreciate your cooperation.
Citibank India does not market any product or service to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey and Jersey.
This form is not, and should not be construed as, an offer, invitation or solicitation to buy or sell any of the products and services mentioned herein to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey and Jersey.
DECLARATION. PLEASE READ THIS CAREFULLY AND SIGN AT THE SECTIONS INDICATED.
If more than one person signs this Declaration, then the following applies to each of them and to accounts which they or either of them opens.
Yes
No, I/We do not wish to be contacted regarding relevant products or services and offers, that the Group Companies believe will be of interest to me/us. I/We understand that I/We will continue to receive account statement, important advices, services and operational alerts and other communication/contact on other aspects critical to my account.
I/We are a first-time traveler & agree to the following declaration governing first-time travelers. I/We confirm that while the Citibank NRI Account is being provided to me/us while I/We are still residing in India and I/We may get a check book, ATM/Debit Card, ATM Personal Identification Numbers, and the NRE (Non Resident External) account will become operative only when credit of funds to my accounts from overseas. I/We will ensure that the funds are duly transferred from overseas and understand and acknowledge that I/We are solely liable for ensuring full compliance with FEMA and other regulations.
CITI/NRI/SMRT ACC OPN /07-19/VER 1.0
Personal details
Name as per passport
Country of residence( as your current legal status is non- resident)
Passport
Permanent Account Number(PAN)
Contact Details
Current/Residential Address
Permanent Address
Office/Alternate Address
mailing address?
Employment Details
Other Details
Senior Public Figure Details
IMPORTANT INFORMATION ABOUT OPENING A NEW ACCOUNT WITH CITIBANKINDIA:
To help prevent money laundering and terrorist financing, our policies require us to obtain, record and verify the identity of each account applicant and will include a photo ID or other identifying documents. You acknowledge and hereby provide your consent that, during the application process, Citibank may verify your identify based on the information provided in the application form such as name, address, date of birth and other details, either against the original document(s) or by using information obtained from sources including but not limited to public records, other financial institutions, government authorities or credit reporting agencies. In the event that we are unable to complete such verification for any reason whatsoever including but not limited to cases not verified against original document(s), we will request you to either meet a Citibank IndiaofficerorgetthedocumentsattestedbytheIndianEmbassyorConsulateinyour country.
We will be unable to process your application without verification and reserve the right to reject the application in our sole discretion without any liability or responsibility. We appreciate your cooperation.
Citibank India does not market any product or service to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey and Jersey.
This form is not, and should not be construed as, an offer, invitation or solicitation to buy or sell any of the products and services mentioned herein to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey and Jersey.
DECLARATION. PLEASE READ THIS CAREFULLY AND SIGN AT THE SECTIONS INDICATED.
If more than one person signs this Declaration, then the following applies to each of them and to accounts which they or either of them opens.
Yes
No, I/We do not wish to be contacted regarding relevant products or services and offers, that the Group Companies believe will be of interest to me/us. I/We understand that I/We will continue to receive account statement, important advices, services and operational alerts and other communication/contact on other aspects critical to my account.
I/We are a first-time traveler & agree to the following declaration governing first-time travelers. I/We confirm that while the Citibank NRI Account is being provided to me/us while I/We are still residing in India and I/We may get a check book, ATM/Debit Card, ATM Personal Identification Numbers, and the NRE (Non Resident External) account will become operative only when credit of funds to my accounts from overseas. I/We will ensure that the funds are duly transferred from overseas and understand and acknowledge that I/We are solely liable for ensuring full compliance with FEMA and other regulations.
CITI/NRI/SMRT ACC OPN /07-19/VER 1.0