Address Change Declaration Form

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Transcript of Address Change Declaration Form

  • To SBI Cards & Payments Services Pvt. Ltd.Post bag No. 1, DLF Qutab Enclave Post OfficeGurgaon- 122 002, Haryana

    Dear Sir,

    My Credit Card No.

    Declaration for current residential address by individuals

    (Pursuant to RBI Circular on DBOD.AML.BC.No.119/14.01.001/2013-14 dated 9th June 2014)

    I hereby confirm my current address and permanent address as below

    Date:

    I will notify SBI Card of the new address for correspondence within two weeks of such a change.

    Signature of the Credit Cardholder

    Middle NameName Mr. Ms. First Name

    City

    Residence Ph. No

    Pincode

    City Pincode

    City Pincode

    Surname

    Current ResidenceAddress

    Permanent ResidenceAddress

    Office Address


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