Please quote this reference no.

for any
OFFICE USE CUSTOMER COPY
future Communication.
9957193333 (0612) 6160616
61606161

6160616

61606161

*Please staple the relevant documents here _______________________

along with the applicants latest visiting card.
Signature of Bank official
Date : D D M M Y Y Y Y

Address change form - For Non-Resident Indians

Please fill the form in BLOCK LETTERS Only-All • Fields indicated by * are mandatory and ** are as applicable.
*PERSONAL DETAILS
*Full Name (Please leave one space between words e.g. ) A J A Y R A M M I S H R A

**NRE CUSTOMER ID NO. **NRO CUSTOMER ID NO.

*Please tick where you would like your correspondence to be sent Indian Overseas

*OVERSEAS ADDRESS : For existing customers, address given below will be updated for the applicant in all accounts held with the bank.
Flat No. &
Bldg. Name
Road No./Name
Landmark/Area
City PIN Code
State Country:

*INDIAN ADDRESS : For existing customers, address given below will be updated for the applicant in all accounts held with the bank.
Flat No. &
Bldg. Name
Road No./Name
Landmark/Area
City PIN Code
State Country:

*CONTACT NUMBER (of the correspondence address):

Residence Fax
Country Code Area Code Number Country Code Area Code Number

Office Mobile No.

Country Code Area Code Number Country Code Area Code Number

Email

*SIGNATURE

I confirm that all details provided on the form are correct.

Name______________________________
Date _________________
• Fields indicated by * are mandatory and ** are as applicable.
INSTRUCTIONS: • Mailing address will be changed at a Customer ID level. Hence mailing address will change on all accounts where the Customer ID is captured as the primary holder.• Non-mailing address as
mentioned in this form will be updated.• Signature on the request form need to be as per the account operating instructions as maintained on the account • Self-attested address proof for the mailing address mentioned
in this form needs to be provided not more than 3 months old.• In case you do not have address proof for the mailing address, provide self-attested address proof of non-mailing address mentioned on the form, only if
your relationship with the bank is more than 6 months old.• In case you provide address of a close relative as your mailing address then a declaration as per Annexure-I needs to be submitted along with close relative's
self-attested mailing address and identity proof. Please note that the declaration needs to be signed by both, the account holder(s) and the close relative. • Where the form has not been submitted by you in person, a
self-attested identity proof of the person signing the form is to be submitted. Further to this the same will not be processed until the bank has obtained email / telephonic confirmation from your registered contact details
with us. In such a case, please ensure your email id / phone number is registered with the Bank. • Address Change requested will be effected in the Bank's records by the Bank within a period of 4 to 5 working days from
the date of receipt by HDFC Bank and the said changes would be effective in the systems from that date only. Address Change requested through PO Box would take additional time to process as per the Terms &
Conditions mentioned on our website. In the mean while any communication by the bank would continue at the old address. • Signature on the form should match with the signature on the records of HDFC Bank. • Any
cancellation/overwriting needs to be counter signed.• Incomplete forms will not be processed.
 ANNEXURE-I
DECLARATION BY THE CLOSE RELATIVE WHOSE ADDRESS PROOF IS SUBMITTED

The Branch Manager

HDFC Bank Ltd
_________ Branch.

Dear Sir,

I confirm that Mr. /Ms_____________________ who has an account with your Bank is my _______________________ (in relation). He /
She is authorizing me to receive all correspondence pertaining to his/her account at the below mentioned address:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
____________________________________________ and telephone Number being ________________ and I do not have any
objection on the same.

I enclose herewith the below:

1. Self attested ____________________________________________________as identity proof

2. Self attested ____________________________________________________as address proof

Name of the declarant: ______________________________________ Signature: _____________________

Date:________________

Name of the account holder: ______________________________________ Signature: _____________________

Date:________________

This will be applicable only if you are changing your country of residence
Are you currently availing DTAA ( Double Taxation Avoidance Agreement) facility?

YES* NO

*If yes, please provide us with the relevant documents for availing DTAA facility as per your new country of residence.

FOR BANK USE ONLY Verified that the account is operated singly or by either /any one or survivor
Version 1.0/22.12.2011/P0330

Signature / A/c. No. Verified / Address Changed Verified

Sourcing Branch Name
Signature of PB : PB Code:
Branch Code
Date of A/c. Activated : PC

LC CODE : LG CODE :
Telephonic conversation done on Tel No. ____________________ Dated ______________.
Email Verification done on _______________________________ Dated ______________