PICL Form

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Permanent Credit Limit Increase for Credit Cards Application Form

Simply send us your latest income documents reflecting an increment in your annual income and you can enjoy a higher credit limit
on your Citibank Credit Card(s)*.

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Attach your income documents along Send it to us by email to
with the completed form below (include [email protected]
Step variable income and bonus) Step
Or mail to
CITIBANK BERHAD (297089-M)
BANKCARD CREDIT INITIATION DEPARTMENT
CREDIT CARDS : CREDIT LINE MAINTENANCE
* Credit limit review programme terms and conditions apply. LEVEL 9, MENARA CITIBANK
165, JALAN AMPANG
50450 KUALA LUMPUR

MY PERSONAL PARTICULARS

√ Yes, I want to enjoy a higher credit limit for my Citibank Credit Card(s) by submitting my latest income documents reflecting an increase in income.

Please indicate any of your Citibank Credit Card(s) account number : Yes, I want my supplementary card(s) to reflect this increased
credit limit when approved.

Please indicate your Citibank Credit Card supplementary card number(s)


Full name as per NRIC : _________________________________ which you would like the increased credit limit to be applicable to :

NRIC : _________________________________
Residency Information :

Citizen/ Nationality Malaysia Others ________


(please specify country)

Permanent Resident(s) Malaysia Others ________


(please specify country)

Place of Residence (Domicile) Malaysia Others ________


(please specify country)

Note: If you do not update/declare any permanent residency, “Permanent


Bumiputera Status Bumiputera Non-Bumiputera
Resident” will be defaulted to the country stated under “Citizen/Nationality”

EMPLOYMENT DETAILS OR BUSINESS PARTICULARS


Name of Employer : _________________________________ Nature of Business : _________________________________
(please be specific. Example: Manufacturing—Wood or Product of wood,
Service Center—Beauty/Fitness, Telecommunications, Financial Institutions)
Employment Type Salaried Business Owner

Work tel. no. (landline): _________________________________ Position : _________________________________

Work address : Date joined/ Date business established : ___________________


(please specify month and year)

______________________________________________________

______________________________________________________

______________________________________________________ NOB Code : (for bank use only)

State : _________________ Postcode: Position Code : (for bank use only)

INCOME DOCUMENTS REQUIRED

To expedite processing, please substantiate with one or more of the following computerized documents :
□ Latest 1 month salary slip □ Latest EPF statement

□ Latest EA form □ Latest Borang B / BE with LHDN receipt or proof of tax paid

For salaried foreigners working in Malaysia, please also include the following computerized documents:

□ Passport and work permit (valid for at least 1 year)

CLI (Sep 2017)


DECLARATION FOR CREDIT CARD
By signing below, I hereby confirm that the Bank has informed me and I fully understand that in accordance with prevailing Bank Negara Malaysia
Guidelines, if my annual income is RM36,000 or less, I can only hold credit cards as a Principal Cardmember from a maximum of two (2) credit card
issuers (‘’Maximum Issuer Restriction’’). I declare that so long as the Maximum Issuer Restriction applies to me:
(1) I will be holding credit cards from a maximum of two (2) credit card issuers (including the Bank as an issuer); and
(2) If I am an existing Citibank Principal Cardmember holding credit cards from more than two (2) credit card issuers (including the Bank as an issu-
er), I undertake to comply with the Maximum Issuer Restriction effective 1 January 2012.

DECLARATION OF DEBT OBLIGATIONS WITH NON-BANKS


Type of Debt Obligations Amount of each monthly Outstanding Balance Capacity Name of Non-Bank
Installment / Payment (RM) (RM) (Self / Joint / Guarantor)

TOTAL

Important Note :
 Debt obligations include both secured and unsecured financing from non-banks (such as PTPTN & cooperatives) that provide credit facilities.
 Any non-disclosure of complete and accurate information may impact the Bank’s decision on your application, including the financing rate (if
applicable)
 The approval of your application and the amount of credit limit increase is at the Bank’s discretion as we deem fit, subject to credit evaluation.

By signing below, I hereby agree to abide by the terms and conditions governing
Please call our Citiphone if you have any questions.
Citibank credit cards, the full set of which is available at www.citibank.com.my

 03-2383 0000 (KL)


 04-296 0000 (Penang)
 07-268 0000 (JB)
_________________________________
 1800-82-1010 (Sabah & Sarawak)
Principal Cardmember’s Signature Date :

CLI (Sep 2017)

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