Income Document Update

Income Document Update for Credit Card
Simply send us your latest income documents reflecting an increment in your annual income.
2
Send it to us by email to
1
Attach your income documents along
with the completed form below [email protected]
(include
Step variable income and bonus) Step Or mail to
CITIBANK BERHAD (297089-M)
Unsecured Credit Initiation
CREDIT CARDS : CREDIT LINE MAINTENANCE
LEVEL 16, MENARA CITIBANK
165, JALAN AMPANG
50450 KUALA LUMPUR
MY PERSONAL PARTICULARS
Please indicate any of your Citibank Credit Card(s) account number :
Full name as per NRIC : ____________________________ Gender □ Female □ Male
NRIC : ____________________________
Residency Information :
Citizen/ Nationality: □ Malaysia □ Others __________________(please specify country)
Place of Residence
(Domicile): □ Malaysia □ Others __________________(please specify country)
Permanent Resident(s): □ Malaysia □ Others __________________(please specify country)
Bumiputera Status: □ Bumiputera □ Non– Bumiputera
Note: If you do not update/declare any permanent residency, “Permanent Resident” will be defaulted to the country stated under
“Citizen/Nationality”
EMPLOYMENT DETAILS OR BUSINESS PARTICULARS

Name of Employer : __________________________________________________________________________________________
Employment Type:
□ Private Employee □ Government Employee

□ Self-employed/ Business □ Employer
□ Citibank Berhad Employee
Nature of Business : ___________________________________________ (please be specific. Example: Manufacturing—Wood or Product

of wood, Service Center—Beauty/Fitness, Telecommunications,
Financial Institutions)
Position : _____________________________________________________
Date joined/ Date business established : _________________________ NOB Code : for bank use only
(please specify month and year)
Work Country: _________________________________

Position Code : for bank use only
IDC (NOV 2022)

INCOME DOCUMENTS REQUIRED
To expedite processing, kindly attach at least ONE of the following document(s) below: :
Payslip (or)
□ Latest 1-month (Salaried)
□ Latest 3-month (Commission earners with basic salary)
□ Latest 6-month (Commission earners without basic salary)
□ Latest 12 months EPF statement (or)
□ Latest Borang B / BE ( Full set of the summary page & acknowledgement receipt from LHDN & LHDN proof of tax paid )
(or)
□ Latest EA form
For salaried foreigners working in Malaysia, please also include the following computerized documents:
□ Passport and work permit (valid for at least 1 year)
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 issuer), I undertake to comply with the Maximum Issuer Restriction effective 1 January 2012.
Important Note:
• Any non-disclosure of complete and accurate information may impact the Bank’s decision on your application, including the
financing rate (if applicable).
• Keeping personal data of individuals secure is a top priority for all of us at Citibank. Please visit us at www.citibank.com.my/
privacyEng to view our Notice and Choice Principle Statement where we seek to outline how we intend to deliver all the
rights and protections that you are entitled to in respect of your personal data. In addition, in the course of your banking rela-
tionship with Citibank, personal data of individual third parties such as your mandatees, authorised signatories, sharehold-
ers, directors, guarantors and parties that have provided security to secure your obligations to Citibank, may have been pro-
vided to us as well. Please inform all such third parties to visit us at the above link to view our Notice and Choice Principle
Statement.
By signing below, I hereby declare that I am not an undischarged bankrupt and I confirm that all information and documents
provided herein are true, complete and accurate. Citibank shall verify all information/documents provided from any reliable
sources as it deems fit. I hereby agree to abide by the terms and conditions governing Citibank Credit Cards, the full set of
which is available at www.citibank.com.my
Please call our Citiphone if you have any

questions.
• 03-2383 0000 (KL)

• 04-296 0000 (Penang)
_________________________________ _______________________
(dd/mm/yyyy) • 07-340 0000 (JB)
Principal Cardmember’s Signature Date of application
(Mandatory) • 1800-82-1010 (Sabah & Sarawak)
Citibank Berhad has transferred ownership of its consumer banking business to United Overseas Bank (Malaysia) Bhd
[Registration No. 199301017069 (271809-K)] with effect from 1 November 2022.
The trademarks “Citi”, “Citibank”, “Citigroup”, the Arc design and all similar trademarks and derivations thereof are used tempo-
rarily under license by United Overseas Bank (Malaysia) Bhd from Citigroup Inc. and related group entities.
IDC (NOV 2022)

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Income Document Update for Credit Card

Please indicate any of your Citibank Credit Card(s) account number :

Full name as per NRIC : ____________________________ Gender □ Female □ Male

Citizen/ Nationality: □ Malaysia □ Others __________________(please specify country)

Permanent Resident(s): □ Malaysia □ Others __________________(please specify country)

Bumiputera Status: □ Bumiputera □ Non– Bumiputera

EMPLOYMENT DETAILS OR BUSINESS PARTICULARS

□ Private Employee □ Government Employee

Nature of Business : ___________________________________________ (please be specific. Example: Manufacturing—Wood or Product

Work Country: _________________________________

IDC (NOV 2022)

□ Latest 12 months EPF statement (or)

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

DECLARATION FOR CREDIT CARD

Please call our Citiphone if you have any

• 03-2383 0000 (KL)

IDC (NOV 2022)

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