Conversion To Basic Savings Bank Deposit Account (Bsbda)

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CONVERSION TO BASIC SAVINGS BANK DEPOSIT ACCOUNT (BSBDA)

This is to request Citibank to convert my/our existing account to Citibank Basic Savings Bank Deposit Account.
ACCOUNT DETAILS
Account No.

First Holder Name :


Debit Card No.

Joint Holder Name :


Debit Card No.

DECLARATION

GCB/Conversion/BSBDA/01-15

I / We request you to convert my/our existing account to Citibank Basic Savings Bank Deposit Account. I / We understand
and agree that, in addition to the terms and conditions signed at the time of account opening, the schedule of charges
for Basic Savings Bank Deposit Account will be applicable.
I / We also understand that, in case I / We have a debit card, other than the regular Citibank debit card, the same will not
be valid anymore. A new regular Citibank debit card(s) will be issued in lieu thereof, which will be delivered to me / us at
the mailing address as maintained in the Bank's records.
As per the guidelines issued by the Reserve Bank of India, I/we understand that I/we am/are not eligible to hold any
other savings bank account(s) with Citibank, India (apart from the BSBDA). I / We understand that any other existing
savings bank account(s) must be closed within 30 days from the date of conversion of my existing savings bank account
to BSBDA.
I/We confirm having read and understood the terms and conditions of the account. I/We agree that the Bank shall have
the right to modify the account rules and the terms and conditions at its sole discretion, which shall be put up on the
website from time to time and which shall constitute sufficient notice to me/us. I/We undertake to verify the Bank's
website for modifications to the account rules from time to time.

Signature (First Account Holder)

Signature (Joint Account Holder)

FOR BANK USE ONLY


Instruction received by

c Mail/Representative

Complete set of originals received

c Yes

c In Person

c No

ID Type:__________________________ ID Number: _________________


Customer met in person by

(1) Name:________________________ Signature: __________________ Emp. ID: ____________


(2) Name:________________________ Signature: __________________ Emp. ID: ____________

Signature verified by

Name:________________________ Signature: __________________ Emp. ID: ____________

Callback details (if applicable)

: Customer spoken with: _____________________________________________________________


Date & Time : _____________________ Number called:___________________________________

Please turn overleaf for Key things you should know about BSBDA.

Last modified on 24-2-2015

Key things you should know about BSBDA

GCB/Conversion/BSBDA/01-15

Basic Savings Bank Deposit Account (BSBDA) makes it convenient for you to avail of basic banking services without any fees or
charges, and without maintaining any minimum balance in the account.
As a BSBDA holder, you are not eligible to have or open any other savings bank account with Citibank in India. If you have any other
existing savings account with Citibank in India, you are required to close the same prior to opening the BSBDA, or else will be
constrained to close such other savings account that you hold with Citibank India.
Citibank will notify you of any changes in the terms and conditions of this account with a prior notice of one month.
To view the Schedule of Charges applicable to the BSBDA, kindly visit the link below:
https://www.online.citibank.co.in/soc/soc-pdfs/basic-banking-savings.pdf

Last modified on 24-2-2015

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