Citibank Singapore Ltd |
24-Hour CitiPhone Banking |
International Personal Bank |
T: +65 6224 5757 |
Robinson Road P.O.Box 0361 |
F: +65 6632 4759 |
Singapore 900711 |
www.ipb.citibank.com.sg |
Co. Reg. No. 200309485K |
|
CHANGE OF ADDRESS AND CONTACT DETAILS FORM
Name (as it appears on account): _____________________________________________________________________________
Effective date of change: _______________________ (mm/dd/yy) |
Account/ Relationship number: _______________________ |
Please update: |
|
|
All my Citibank Accounts/Relationships |
All my Credit Card Accounts Only |
All my Banking and Investment Accounts Only |
Others: _________________________ |
New Mailing Address Update*
Country:Postal Code:
Country of Residence & Current Residential Address* (Mandatory to select one of the options below)
(Residential address is where you are currently residing, and should not be a care-of or P.O. Box address)
Same as Mailing Address
Different from Mailing Address, please provide Current Residential Address in space below:
New Contact Number Update
|
Type |
|
|
Country |
|
|
Area |
|
|
Telephone No. |
|
|
|
|
Code |
|
|
Code |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Home * |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Office * |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Primary Mobile * |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additional No. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Home Fax * |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Office Fax * |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
New Email Update *
Preferred Email address:
Alternate Email address:
* The new information provided herewith will replace the existing information in the Bank's record.
Please ensure that all the relevant details in the form are duly completed (or struck out, if not applicable) prior to affixing your signature to this form.
|
Customer Signature: |
|
|
Customer Signature: |
|
|
Customer Signature: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Name: |
|
|
Name: |
|
|
Name: |
|
|
|
|
|
|
|
|
|
|
Note on Signature Requirements: For Joint account, please ensure that the form is signed in accordance to the signatory requirements in the Bank’s records.
For Bank Use Only
Face-To-Face |
|
Mail / Fax |
Customer Met & ID Sighted By: __________________________________ |
Signature Verified By: __________________________________________ |
|
(Name & Initial) |
(Name & Initial) |
Independent Verification: _______________________________________ |
Callback By: _________________________________________________ |
(Name & Initial) |
(CM met/ID sighted, signature witnessed/verified) |
(Name & Initial) |
Date/ Time/ Extn: _____________________________________________ |
|
|
|
|
|
©2016 Citibank. Citi, Citibank and Citi and Arc Design are registered service marks of Citigroup Inc. Citibank Singapore Limited Co. Reg. No. 200309485K. Printed on 04/2016