APPLY FOR CITIBANK READY CREDIT

• *Suvidha/Banking Account Number:

• YesNo

• Title Mr. Ms. Mrs.

• Choose one Ahmedabad Bengaluru Chandigarh Chennai Delhi/NCR Hyderabad Jaipur Kolkata Mumbai Pune Surat Vadodara

• Choose one Ahmedabad Bengaluru Chandigarh Chennai Delhi/NCR Hyderabad Jaipur Kolkata Mumbai Pune Surat Vadodara

• Are you a Director/Senior Officer of Citibank and/or their Relative and/or director of other banks and/or their Relative?

  Yes No

I do hereby solemnly declare and state I am not¹ -

• a director or Relative of a director, of Citibank, N.A. or any other bank*;
• individual in respect of whom any of the directors of Citibank, N.A. is a partner or guarantor;
• A Senior Officer or Relative of Senior Officer of Citibank, N.A.;

*including directors of scheduled co-operative banks, directors of subsidiaries/trustees of mutual funds/venture capital funds.

If answer to any of the above is a “Yes”, please provide details of director, senior officer, position of the senior officer and relationship to the director/ senior officer etc. below:²

• Name of the Director of Citibank NA or other bank / Senior Officer of Citibank NA
  Name of the bank
  Position with bank
  Relationship Select Self Spouse Father Mother (including step-mother) Son (including step-son) Son's Wife, Daughter (including step-daughter) Daughter's Husband Brother (including stepbrother) Brother's wife Sister Sister's husband Brother (including stepbrother) of the spouse Sister (including stepsister) of the spouse

• I declare that I am making the aforesaid declaration solemnly and sincerely believing the same to be true and in case of any change on the above, I shall immediately inform Citibank, N.A. of such change.

By submitting this form, I/We hereby declare that my/our total borrowings from the banking system is less than ₹5 crore. I/We will inform Citibank by calling the CitiPhone helpline number, if in the future, my/our total borrowings from the banking system is ₹5 crore or more.

As per internal policy Bank will not offer Ready Credit to customers whose total borrowings from the banking system is ₹5 crores or more.

Before completing this application, we would like to inform you that Citi has entered into an agreement with Axis Bank for the sale of its consumer banking businesses in India. The sale is conditional upon receipt of necessary regulatory approvals including the approval of the Competition Commission of India.
On consummation of the sale subject to receipt of regulatory approvals, your banking relationship with Citi will be migrated to Axis Bank. Accordingly, Citi hereby seeks your consent for: (a) the transfer of this product being applied for and also on any other product (which requires consent for transfer) that you currently hold or may hold with Citi; (b) the transfer and disclosure of all your data and information provided to and available with Citi and (c) transfer of your tax documents/declaration provided to and available with Citi to Axis Bank (as permitted by applicable regulations), in each case in connection with the consummation of the aforesaid sale and use thereof by Axis Bank for continued offering of banking services, including for the purpose of any KYC related compliance.
When you consent to transfer the relationship, there will be no immediate impact on this product being applied for or on the existing products that you may hold with Citi, be it credit cards, loans, deposits, investments, or any others and the same will transfer to Axis Bank on the same terms and conditions*.
*For more details and FAQs, please visit: https://citi.asia/consenttnc.
Please submit your application now to record your consent for the same.