Declaration for Current Residential Address by Individuals Dear Sir/Madam, My Credit Card No. 2/3/71) [4y186la) lapels iy 14) hereby confirm my current address and permanent address as below Nome Efe]. Fist Nome Nr iaale Nome |_| |] CTT Sumne (KANAlginE! TT I current Residence (HNO) @1= a Tipe nel Ve TT TTT a HAST Hina HAASi| Haver iHwAG@AaR [TTT cy TIBILIANGlAlNia| Pincode BOO FO) [els]e(a/als/eletale] Residence Ph. No, [ I Permanent Residence [jf]: lo” [@=l6l-1 46. a | a SNeLpULR BH ¢ U cry TIELIANGIANA | Ho office address EIA | oll blqr de! wd TTL NIANOK RA SAT TTT T TI cy HY¥eeRARAD] | Pincode (FOI (2. A cat nies ‘Address proof (please tick as appropriate)* Cl rocpon ced] terse nineties Roe seckcons) (Gf Goad cnt [tater issued by Ul of nda contrng dts of Name, Adress & Adar No, ( EAS") 7] overseas citizen of ndia(Octisued by Government along wth the pssportto NRIs & PlOs{In Case of OCI ony) ‘You may send us ths declaration frm along with copy of your adress proot at: SBI Card & Payment Services Put. Ltd ‘Bl Cord (KYC Addeess Change), OLF Cyber Cty, Tower C Block 2, Building 3 DLE Infinty Towers, 12th Floor, Gurgaon 122002 o, ‘You can emai the documents to: adeessprool@sbiceré.com ea @ ame