Address Change

D D M M Y Y Y Y
Date:

To,
ICICI Bank Ltd., OBU-Seepz Service Centre, IPB OPS-OBU
ICICI Bank Towers
Financial District, Plot No 12, Tower-1
South Wing, 6th Floor
NanakRamGuda, Gachibowli
Hyderabad - 500032

Dear Manager,
Please update my mailing/permanent address in your records. My address is:
Name of Account Holder/s: .........................................................................................................................................................................

OBU Account Number: OBU Customer ID:

My E-mail ID: .................................................................................................................................................. *(refer to point 1 in Notes)

My Contact Number/s: ................................................................................................................................... *(refer to point 1 in Notes)

Update my (please tick appropriate box):

Communication address Permanent address Both communication and permanent address

Communication address (if changed): ........................................................................................................................................................

....................................................... City: .......................................... Country: .................................. Pin code: ......................................

Permanent address (if changed): ................................................................................................................................................................

..................................................... City: .......................................... Country: .................................. Pin code: .......................................

*(refer to point 3 & 4 in notes)
I have attached documentary proof of the new address.

Sincerely,

SIGNATURE OF PRIMARY ACCOUNT HOLDER

Notes
1. If we do not have your e-mail address/contact number with us, we will update our records with the ones mentioned above.
2. Only a Primary Applicant can initiate an address change request.
3. Please attach relevant proof of address. Refer to ‘Important things to know’ for a list of valid proofs of address.
4. Attach a copy of your visa if your country of residence has changed.
5. In case your address is of a blood relative’s and you submit proof of it, please fill in the Blood Relative’s declaration.
6. An e-mail that will alert you to the status of your request would be sent to your new e-mail ID mentioned above.

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