Address Modification and Grid Card Request Form

Date ______________

To,
ICICI Bank Limited
NRI Services Centre (CPCNRI)
Ground Floor, Empire Complex, 414 - Senapati Bapat Marg,
Lower Parel, Mumbai - 400 013, INDIA.

Dear Manager,

I wish to update my mailing/permanent address. My address is given below:

Name of account Holder(s) ___________________________________________________________________

Account number__________________________________ Customer ID _____________________________

My e-mail ___________________________________________________________ (*refer point 1 in notes)

My contact number(s) ________________________________________________ (*refer point 1 in notes)

Update my address as indicated below

Communication address

Permanent address

Both communication and permanent address

Communication address (ifchanged) ________________________________________________________________

__________________________City____________________Country__________________Pin code________________

Permanent address (if changed) ____________________________________________________________________

__________________________City____________________Country__________________Pin code________________

(*refer points 3 & 4 in notes)

I wish to activate all inactive / dormant accounts under my Customer ID.

I have attached an address proof document supporting the address change.
I wish to have my grid card sent to my new communication address

Sincerely,

__________________________________
Signature of Primary Account Holder

Notes:-
1. If we do not have your e-mail address/contact number with us, we will record the ones mentioned above.
2. Only Primary Applicant can initiate an address change request.
3. Please attach relevant address proof. Refer to 'Important things to know' for list of valid address proofs.
4. Attach copy of visa if your country of residence has changed.
5. In case you are submitting address proof in the name of Blood Relative, please fill the Blood relative declaration.
6. We will send an e-mail at your registered e-mail ID, confirming the status of your request.
 Important Things to know Track Status of your
Form
before you initiate a Transaction Service Request / Transaction

Important Points to Know before you Initiate an Address Change in your Account

1. Only a Primary Applicant can initiate an address change.

2. The signature on the address change form must match the signature in the Bank's records. In the case of mismatch
in signature, please fill the signature-change related details.

3. Your account status has to be "Active". If there are no transactions in the account for more than 15 months, the account
is marked "Inactive". Similarly, if there are no transactions in the account for more than 18 months, the account is marked
"Dormant". If your account is in Dormant/Inactive status, please select the account activation option and indicate your
Customer ID on the form.

4. Valid Passport details: If your passport has expired or a new passport has been issued after you got your account opened,
please give us your latest passport copy with the address change form.

5. Address Proof: In the case of address-change either in your overseas address or Indian address, please provide
appropriate address proof

6. If the country of residence indicated in Permanent address or Communication address has changed (e.g. France to
Germany), please provide passport and visa copy in addition to the address proof.

Please refer table below for acceptable address proofs.

Proofs to be submitted in the name of Primary Applicant. No address Proof will be accepted in the name of Joint
Applicant. Address Proof is mandatory for both Overseas and Indian Address.

Incase your address proof and visa is not in English, please provide a duly notarized translated copy in English.

Valid Proof (Any one) Criteria of Validity For India For

Address Oversea
Proof s
Address
Proof

1) Passport copy Valid for at least 3 months from the day it is submitted yes yes
as address proof.

2) Utility bills (any one from the list below) The date of issue of any of these utility bills should yes yes
(a) Electricity bill have been within the last 6 months.
(b) Landline telephone bill
(c) Post-paid Mobile phone bill (Only from
USA, Canada and UK)
(d) Gas bill
(e) Water bill

3) Credit card statement (Credit Card The statement should have been issued within the NA yes
statement is acceptable only for USA, UK last 6 months prior to the time of placing the address-
and Canada) change request. Credit Card statement (MasterCard,
American Express, Visa and Diners Club cards)
issued by banks in the list available at the following
links:
- For list of banks (US), Click here
- For list of banks (Countries other than US), Click
here.
4) Rent receipt along with The lease deed must be valid at the time of placing yes yes
stamped/registered lease deed the address-change request.

5) Letter from banker with stamp and The period of your relationship with the bank should yes yes
signature clearly specifying that the be more than three months.
mentioned address is the communication
address and that tenure of relationship with
the bank.

6) Latest premium receipt from any life 1) Policy must be in force as on date. yes yes
insurance company. 2) Single premium payment covers will not be
 accepted.
3) Any premium paid more than 6 months ago will not
be accepted as address proof.
4) First premium will not be accepted as address
proof.

7) Driving licence Issued by Handwritten/Provisional/Temporary/Learning Driving yes yes

USA/UK/Switzerland/ Licence will not be accepted. Also any Only India-
Singapore/Australia/ Canada/ European handwritten/unauthorized alteration on driving licence issued
Union countries (please click here for a is not acceptable. driving
list of European Unioncountries lis.) * licence is
acceptable

8) Certificate from the postal office yes NA

confirming address of applicant either on
letterhead under office seal and signed by
Post Master / Assistant Post Master.

9) Certificate by Village Extension Officer yes NA

(VEO) / Village Head or equal rank officers.
Issued either on letterhead or under office
seal.

10) Person of Indian Origin (PIO) card Must be valid at the time of placing the address NA yes
change request

11) Overseas Citizen of India (OCI) card Must be valid at the time of placing the address NA yes
change request

12) Shop licence issued by government Must be valid at the time of placing the address NA yes
authorities with name and address change request
mentioned.

13) Letter from government postal NA yes

authorities

14) Notarised letter from employer Issued within the last 6 months prior to the time of NA yes
mentioning name and address. placing the address-change request.

15) Address on Visa The address on tourist visa and business visa will not NA yes
be accepted as address proof.

16) Residence Permit (Government-issued Following are the valid Government-issued unique NA yes
uinque identity document) identity documents:
1) Kuwait-Bataaka Madaniya (Civil ID)
2) Saudi Arabia-Iqaama (Residential permit)
3) Oman-Residence Card
4) UAE-Labour Card
5) Bahrain-CPR (Central population registry) Card
6) Qatar-Residence Card
7) Singapore NRIC
8) USA-Residence Card
9) UK-Residence Card

17) Council Tax bill (Only applicable for UK) Must be valid for 6 months. NA yes
(Only
applicabl
e for UK)

18) Bank statement 1) For all the bank statements / passbooks, there yes yes
should be at least two customer-induced transactions
in the last 3 months prior to the time of placing the
address-change request. Typical customer induced
transactions include ATM withdrawals, debit card
transactions and cheques cleared.
2) Further the bank statement / passbook should not
bear more than 3 cheque returns.
3) The list of the banks whose statements are valid
can be accessed from the following links:
- For list of banks (US), Click here
- For list of banks (Countries other than US), Click
here.
- For a list of credit unions in the USA, please Click
here.
19) Property tax bill Must be valid at the time of placing the address yes NA
change request

20) Municipal tax bill Must be valid at the time of placing the address yes NA
change request

If address proofs in the name of Primary Applicant not available, address proofs of blood relative can be accepted as
follows:

Valid Proof Criteria of Validity Declaration

A) Annexure/Format of declaration for blood Blood relatives includes spouse, father, mother, sister, Print Blood Relative
relative to be filled by Primary Applicant brother and child. Declaration

B) Proof of relationship of that person with Any One of the following

account holder a) Passport
b) Birth Certificate
c) Marriage Certificate
d) Ration Card
e) Matriculation Certificate
f) School Leaving Certificate
g) Court Affidavit

C) Any one of the above address proofs in Please refer to the list above.
the name of the blood relative

*Driving License issued in smart card or laminated with photograph and signature will be accepted