Request for international Debit Card

To,

The Branch Manager

Branch

Sub:- Request for issuance of International Debit Card

Dear Sir /Madam

I / We am/are having a Savings /Current Account no. ___________________ with your Branch.
Please arrange to issue me/us an International Debit card with EMV Chip that can be use
internationally on POS/ ATM/ e-commerce websites. I /we will abide by the terms and
conditions of the card. I am /we are authorizing Bank to Debit my/ our account no.
_______________ for the charges of the cards.

Thanking You

Yours Faithfully

(Name of the customer /s)

Date:

Place:

For Branch Use:

Issued EMV Chip Card :- .

Name of the officials:- .

Signature of the officials:- .

Date of issue:- .