MOST IMPORTANT DOCUMENT

Dear Customer,
Thank you for applying for SBI Card. We request you to fill in this declaration form to confirm your
application for the SBI Card.

DECLARATION

Subject : Confirmation of application for SBI Card and Card fees acceptance.
This is to confirm that I am submitting my SBI Card application form along with the required
document for processing.
I, Mr. / Ms. _______________________, hereby acknowledge that I have applied for the card ticked
below and agree to pay the annual fee mentioned in the corresponding column
Please sign in
one of the boxes
as per your
Card Type choice

SBI Card Offering

Year 2
Year 1
Onwards
Annual
Annual
Fee*
Fee*

SBI Gold & More Card

` 499*

` 499*

SBI Platinum Card with

Joining gift

` 2,999*^

` 2,999*

Other Key Product Offers**

- Get 2000^^ Bonus Cash Points by shopping for

` 2000 or more within 60 days of receiving card
- Year 2 onwards annual membership fee would be
reversed if Annual Spends for the last year are more
than ` 75,000
Internal Use Only: FOGM, SBT1
Welcome Gift: Apparel Vouchers upto `3,000,
Anniversary Gift: 2 Lakh Annual Spends: Apparel
Vouchers upto `3,000, Milestone Gift (Annual Spends - 4
Lakh & 5 Lakh): 1 One Way Full Fare Domestic Air Ticket or
Apparel Voucher upto `3,000.
Internal Use Only: VPTA, VPTG

SBI Signature Card with

Joining gift

` 4,999*^

` 4,999*

Welcome Gift: 1 One Way Full Fare Domestic Air Ticket or

Apparel Voucher upto ` 5,000, Milestone Gift (Annual
Spends - 2 Lakh, 3 Lakh, 4 Lakh): Credit of 10,000 Reward
Points at each Milestone Level. Milestone Gift (Annual
Spends -5 Lakh): Credit of 20,000 Reward Points.
Internal Use Only: VSAT

^^Terms & Conditions

This offer is valid only for Gold & More Cards that have a Fee of 499 from 1st Year onwards. Offer is valid on total purchase of ` 2,000 or more done within 60 days of receiving the
card. Offer is not valid on Cash Withdrawals, Balance Transfer and Easy Money Draft spends. Maximum 2000 Cash Points can be availed per SBI Card account as a part of this offer.
Offer is valid for new SBI Cards only and is not applicable for Upgraded, Re-Issued, Replaced and Renewed Cards. Bonus Cash Points will be credited to the SBI Card account within
60 days of eligible transaction(s). For Detailed Terms & Conditions, log on to www.sbicard.com

SBI Advantage Cards

SBI Advantage Gold & More
Card

Year 2 onwards annual membership fee would be reversed

if Annual Spends for the last year are more than ` 75,000
Internal Use Only: STA1
Welcome Gift: Apparel Vouchers upto `3,000,
Anniversary Gift: 2 Lakh Annual Spends: Apparel
Vouchers upto `3,000, Milestone Gift (Annual Spends - 4
Lakh & 5 Lakh): 1 One Way Full Fare Domestic Air Ticket or
Apparel Voucher upto `3,000. Internal Use Only: SPTA, SPTG

` 499*

` 499*

SBI Advantage Platinum

Card with Joining gift

` 2,999*^

` 2,999*

SBI Advantage Signature

Card with Joining gift

` 4,999*^

` 4,999*

SBI NRI Platinum Card

` 1,500*

` 1,500*

Not Applicable

` 4,999*

Welcome Gift: 1 One Way Full Fare Domestic Air Ticket or

Apparel Voucher upto ` 5,000, Milestone Gift (Annual
Spends - 2 Lakh, 3 Lakh, 4 Lakh): Credit of 10,000 Reward
Points at each Milestone Level. Milestone Gift (Annual
Spends -5 Lakh): Credit of 20,000 Reward Points.

Welcome Gift: 1 One Way Full Fare Domestic Air Ticket or

Apparel Voucher upto ` 5,000, Milestone Gift (Annual
Spends - 2 Lakh, 3 Lakh, 4 Lakh): Credit of 10,000 Reward
Points at each Milestone Level. Milestone Gift (Annual
Spends -5 Lakh): Credit of 20,000 Reward Points.
Internal Use Only: SAAT

SBI NRI Signature Card

` 4,999*^

Internal Use Only: SIBT

Internal Use Only: SAAT

*Govt. Service Tax as applicable on above.^ Joining gift post realization of fees **Terms & Conditions Apply

I am agreeable to
1. Any Variation in credit limits assigned to multiple credit cards issued to me . 2. Any Alternate Card being issued to me 3. Any Transfer
of existing card to the new card applied for by me whether on notice or otherwise and done at the sole option and discretion of SBICPSL
based on its internal policy.
I am aware that the joining and the annual fee will reflect in my first card statement issued to me and I need to pay the same before the payment
due date of the 1st statement. I am also aware that this declaration does not necessarily guarantee card approval.
I further state and declare that while sourcing the application of SBI Credit Card: No Cash has been collected from me; No Credit limits have been
promised to me. I shall contact the SBI Credit Card Customer helpline incase I have any doubts/clarifications

1.S

Sign here only if you have submitted the documents

I have submitted the following documents.

KYC Document

Surrogate Document

Others

Name of Primary
Card Applicant
FOR OFFICE USE ONLY

Date
Back Checker Code

(Signature of Primary Card Applicant)

Place

Back Check Date

Authorization for Upgrade

I opt for being contacted by SBI CARD on my mobile number as mentioned in the Application form to offer me an upgraded variant from the SBI Card
portfolio, post my consent.
I have read & understand that :
A higher fee corresponding to the upgraded card will be levied to me in the event I am eligible for
x
a higher variant of SBI Card.
Eligibility for upgrade is as per SBICPSL Policies and at absolute discretion of SBICPSL.
(Signature of Primary Card Applicant)

1.S

Ver: 20141009001

I hereby confirm and declare that :

1. I/We declare that the information provided by me in this form is true, correct and complete in all respects and authorize SBI
Cards & Payment Services Private Limited ( SBICPSL) / or its affiliates & associates to verify any information at my office /
residence, with my employer, financial institution, credit bureau or any third party engaged by SBICPSL. I have read and
understood the contents of the SBI Credit Card Application form, Card Member Agreement and the attached Most Important
Terms and Conditions and agree and give my consent to all its content. 2. I confirm that I have no insolvency proceedings
pending against me nor have I ever been adjudicated insolvent by a court of competent jurisdiction. 3. I and the additional
cardholder(s) agree unconditionally to be bound by the terms and conditions of the card holder agreement accompanying
each SBI Credit card unless the card is cut in half and pieces returned to SBICPSL. 4. I will be liable for all charges incurred on the
primary credit card and all Additional cards issued and each additional Card holder will be liable for all charges incurred on all
such credit cards jointly and severally with me. 5. I agree that charge slip or a payment requisition or requisition or an
electronic record resulting from or generated by the use of the card will amount to an unconditional undertaking by me to pay
SBICPSL the amount stated therein and agree that a copy of my periodic billing statement sent to me by post or e-mail, at the
e-mail address provided by me will be final and conclusive evidence of my liability for the charges stated therein. 6. I authorize
SBICPSL, at its sole discretion to transfer my outstanding balances on other credit cards and credit facilities availed by me from
other companies and financial institutions as provided in the application. 7. I authorize SBICPSL to disclose any information
relating to my / our card(s) as mentioned by me in the application form or any information reflected in the documents
submitted including any default in payments to a credit bureau, financial institutions, any parent, subsidiary, affiliate or
associate of SBICPSL, my employer, co brand partner, third parties engaged by SBICPSL for proper operation of card accounts,
verifications and other administrative services. 8. I authorize sharing of any of my information for purposes such as marketing
and offering of various products and services of SBICPSL or any of the product(s) of its Group Companies, subsidiaries,
affiliated, associates of co brand partner. 9. I also authorize SBICPSL to send me SMS Alerts on marketing / account related
information on my mobile phone number. All documents submitted in support of the application shall become the sole and
absolute property of SBICPSL and shall be treated in accordance with all applicable Laws and Rules established in India. 10. I
am fully aware and understand the regulations governing the use the Card outside India and my obligations under the
applicable exchange control / management regulations and guidelines issued by Reserve Bank of India / applicable authority
from time to time. 11. I undertake that my and Additional Card members use of the card shall be in strict compliance with
applicable exchange control / management regulations, otherwise the card may be cancelled at the instance of RBI and / or
SBICPSL in the event the I or the additional card member(s) are not in compliance with the usage restriction, foreign exchange
entitlements and other applicable regulations. I/We shall bring the same to the notice of SBICPSL in writing forthwith. 12. I
accord the above consent notwithstanding the issuance / non issuance maturity of the card(s) or its discontinuance by me. 13.
I accept the fee structure mentioned below. I understand that the Joining & Annual fee mentioned below shall be required to be
paid by me on receiving the first statement of account. Paid insurance is OPTIONAL and has been clearly communicated to me
at the time of selling the credit card. 14. I/We hereby unconditionally agree that SBICPSL may in its discretion consider to use
the information supplied by me/us on the application form and sell insurance to me/us at their sole discretion, even in the
event of me/us not having been issued the card. Finance charges @ 3.35% per month. Service Tax extra, as applicable. 15. I
further state and declare that while sourcing the application of SBI Credit Card : No Cash has been collected from me. No credit
limits / gifts etc. have been promised to me. I shall contact the SBI Credit Card Customer Helpline in case I have any doubts /
clarifications. 16. I authorize SBICPSL to use my PAN number to verify KYC details submitted by me in the Application form. Any
such verification will be from an authorized forum only. The application form will not be processed pending completion of KYC
verification. Further, if SBICPSL requires any information on account of compliance with the KYC and AML Guidelines, I will
provide the same. 17. I am agreeable to any variation in credit limits assigned to multiple credit cards issued to me whether on
notice or otherwise and done at the sole option and discretion of SBICPSL based on its internal policy. 18. I further give specific
consent to the blocking and deactivation of any of my credit cards and its aligned accounts in all circumstances where at any
instance I commit default in timely payments of my outstanding on any of such credit cards issued by SBICPSL to me. 19. I
understand that I may be issued a SBI Card from SBI Card portfolio at the absolute and sole discretion of SBI Card to which I,
hereby give my full and free consent and I further undertake that subsequently I shall not raise any demure, protest and/or
contest with regard to any matter connected therewith. I confirm that I have been duly communicated and I have fully
understood all accompanying terms and conditions of SBI credit cards. 20. In all events of payments not being paid by the due
date, SBI Card reserves the right to carry out follow ups by means of personal visits, post, fax, telephone, e-mail, SMS and/or
engaging third party to remind, follow-up and collect due payments in any manner deem fit by SBI Card keeping the intent in
view. 21. In all events where SBI Card or its authorized representatives are unable to contact me, SBI Card shall be at liberty to
leave payment due messages with any third parties which may include without restriction your spouse, parents, other family
members, secretary, accountant etc who may be available at your residence, office, mobile number, registered Landline
number, address. 22. This is without prejudice to other rights of SBI Card to collect outstanding dues to be exercised in
accordance to law. I hereby confirm that I would be the beneficial owner of the SBI Credit Card as understood in the normal
business parlance and in accordance to existing regulations. I hereby undertake to comply with all directives from SBICPSL in
my capacity of the beneficial owner of the SBI Credit card if and when such credit card is issued by SBICPSL to me based upon
approval of my SBI credit card application form. 23. I have read and understood all SBICPSL policies regarding data privacy
and security procedures published on its web site www.sbicard.com and acknowledge all its content.