Citibank Supplementary Card Application v.2

Citibank Supplementary Card Application Instructions

Reminders: Please don’t forget to fill-out and check details with RED Asterisk (*) on the form:

1. YOUR FULL NAME and your CITIBANK Card Details, in RED BOXES and with Asterisk (*). 2. Complete Supplementary Card Details, in RED BOX and with Asterisk (*). 3. Your SIGNATURE and DATE in the RED Box and with Asterisk (*). 4. Signature of Supplementary in the form is required for *Non- Relative Applicant –

- Fiancee / Fiance / Partner - Boyfriend / Girlfriend - house helper - friend - employee, - driver - officemate

*Company information is needed as well; TIN #, SSS #, Company and Industry in the form

5. For Newly-Married and Spouse is the applicant: Please provide Married Certificate if; - Married name is not yet updated in Citibank (For Female Principal Card Holder) - Wife doesn’t have an ID bearing Family name of Husband (For Male Principal Card Holder) *Otherwise, it will be considered as Non-Relative applicant, please see #4

6. Please attach a Clear Valid Acceptable Government issued ID of your supplementary - Passport (Not expired) - Driver’s License (Not expired) - SSS ID - TIN ID - Unified Multi-Purpose ID (UMID) - GSIS E-Card - Postal ID (Not expired) - PRC ID (Front and Back; and Not expired) - School ID with Birth Certificate (For Students, in absence of Passport) - Senior Citizen ID

7. Please fill-out form in BOLD / CAPITAL Letters using Black pen 8. For changes in information, please don’t forget to counter sign it. 9. Put N/A for areas not applicable

Please send/email the clear scanned copy of the Application Form and the Supplementary Primary ID to

[email protected] with subject > Citibank : Supplementary Card for (Name of Supplementary).

NOTE:

Processing of your supplementary card request will take about 5-10 working

days upon receipt of your completely filled-out application form and Supplementary Valid

IDs. Please note also that a Service Officer will call you to confirm and verify authenticity of

your application for your security between 9:00am – 6:00pm.