Citibank Clear Platinum Card Application Form
Please print, complete and return the original signed application form together with the required documents:
• By mail to the following address:
• By fax to 6328 2308
Citibank Singapore Ltd, Global Consumer Banking, Robinson Road P.O. Box 356, Singapore 900706,
Attention to Citibank Online
Attn: Applications Management Unit
All applicants must be aged 21 years old and above.
Minimum Annual Income to qualify:
• S$30,000 for Singapore citizens and permanent residents
• S$60,000 for foreigners (A pledge of 1.5 times the credit line will be required if annual income falls below this stipulated amount.)
• Regardless of the number of credit cards you have, your combined credit limit with Citibank shall be up to twice your monthly income.
• All annual fees are inclusive of GST.
Annual Fees: S$150
FOR EXISTING CITIBANK MAIN CARDHOLDERS
For Credit Card – Complete 1 & 7.
For updates in employment details – Proceed to complete 2.
FOR NEW CARD APPLICANTS
Please complete 1 to 7 in full.
* First year fee waiver does not apply to customers who hold a Citibank Clear Card any time during the past 6 months from date of application of Citibank Clear Platinum Card.
Home Telephone Number
Number of Dependants
Surname/Family Name (as in NRIC/Passport) Title
Date of Birth
Given Name (as in NRIC/Passport)
NRIC (for Singaporeans & PRs)
Passport Number (for expatriates)
Name to appear on Card (max. 19 characters)
YOUR SUPPORTING DOCUMENTS (COMPULSORY)
In order for us to process your application, your income has to be supported by one of the income documents below.
Please TICK and SUBMIT the following:
For all applicants:
A photocopy of