CREDIT CARD BROCHURE CUM APPLICATION FORM

VERSION 1.17
Source F O C O Promo
Ref. No.
LC1 Code LC2 Code

Token No.

APS Reference No.

Business
Annual Fee: Rs. 750
Please indicate your choice of HDFC Bank My City Benefit Card (Issued to Primary Cardmember only)

First name Middle name Last name

Title Mr/Ms/Mrs/Dr
*Name as you would prefer on the card
Business Name as desired on the card (Applicable for Business Gold Card only)

Marital Status Single Married Others Gender M F Date of Birth No. of Dependents
Educational Qualification
10th or below 10 + 2 or below Graduate Postgraduate and above Professional Other (please specify)

PAN No. Passport No. Place of issue

Voter ID. Driving Licence No. Place of issue Nationality Indian Citizen NRI Foreign National

P L E A S E T E L L U S W H E R E YO U L I V E
Residential Address:
Flat / Door No. & Building Name

Road Number / Road Name

City/State PIN
Landmark

*Tel No. Is it a PP No.? Yes No Mobile No.

Personal E-mail ID
Alternate/Permanent Address:
Flat / Door No. & Building Name
Road Number / Road Name

City/State PIN

Landmark
Is it a PP No.? Yes No Mobile No.
*Tel No.
Please give us the name of a relative/friend in your city who does not stay with you as reference.
Name Tel No.

Your residence is Owned Rented Company Provided Ancestral/Family PG Accommodation Period at current residence Years Months

Your vehicle is Four-Wheeler Two-Wheeler Others None Vehicle-make (Model Name) Yr. of Purchase
Your vehicle is Financed Owned Company provided Policy Expiry Month Covered by (Insurance Co.)

D E TA I L S A B O U T YO U R O C C U PAT I O N
Occupation : Salaried Self-employed Retired Housewife Student
If salaried, employed with : Private Limited Partnership Proprietorship Public Limited Public Sector Government Multinational
If salaried, type of industry/business : Advertising/Market Research Banking Construction/Real Estate Consumer Goods Entertainment/Media Export/Import NBFC
Hotel/Restaurant Information Techonology Pharmaceuticals Textiles Transport Travel/Tourism Telecom Insurance
Internet services Real Estate Call Centres/BPO/ITES/Medical Transcriptions Finance Others
If self-employed, your firm is : Private Limited Proprietorship
Partnership
If self-employed you are a :
Broker Chartered Accountant Consultant Doctor Engineer Films/Entertainment Professional Financier Real Estate Agent

Importer/Exporter Journalist Landlord Lawyer Manufacturer Software Professional Trader/Distributor Retailers/Grocers

*Company Name Designation Department

Company Address :
Flat / Door No. & Building Name

Road Number / Road Name

City/State PIN
Landmark

*Tel No. Extension No. Fax No.

HR Contact No. Customer Emp Code Supervisor Contact
Office E-mail ID Time of Contact
Period at the current employment Years Months Total years in employment/business Years (if self-employed, mention total period in business)
If self-employed, Capital Investment Annual Turnover No. of Employees

B A N K D E TA I L S
For HDFC Bank Customers Other Banks
Account No. Name of your Bank
Customer ID No. Branch Name
Account Type Current Savings FD Demat Account (if any) Account No.
Duration of the account held Years Months Account Type Current Savings

Loan Account Car Loan Personal Loan Consumer Durable Loan No. of years account held Years Months
Loan Against Shares Housing Loan (HDFC)

Loan Account / Agreement No.

I N C O M E D E TA I L S
Gross Monthly Income......................................................................................... Spouse's Name.................................................................................................
Additional Monthly Income (attach documents, if any)...................................... Spouse's Monthly Income (attach documents)................................
Average Monthly Expenses................................................................................. Spouse's Company Name................................................................................
Spouse's Office Tel. No........................................Extension No. .....................
R E L AT I O N S H I P
Do you have any relationship with any Director or Senior Officer of HDFC Bank : Yes No

Name of Director/Senior Officer

Relationship with the Director/Senior Officer

DO YOU HOLD ANY OTHER CREDIT/CHARGE CARD?

If Yes, give details
Issuing Bank Credit/Charge Card No. Expiry Date Member Since Credit Limit

STATEMENT
Where would you like your card statements and other correspondence to be sent? Office Residence
DIRECT DEBIT OPTION
I accept the direct debit facility and authorise HDFC Bank to debit my Bank account, aforementioned in the Bank Details section, towards credit card payments as indicated below
100% billed amount, Minimum amount due (5% of total statement outstanding including EMI, or Rs. 200 whichever is higher)
HDFC Bank account number aforementioned above in the Bank Details section will be used for direct debit facility. If neither option clearly choosen, the MAD option will be set by default
Primary Applicant's Signature

ADDITIONAL CARD DETAILS

Would you like an Add-on card Yes No Name to be embossed on the card :
Title Mr Ms Mrs Dr
Date of Birth Sex M F
DD MM YYYY

Relationship Spouse Son/Daughter (over 18 yrs) Brother Sister (over 18 yrs) Parent

DECLARATION * (Copy of PAN card Mandatory)

I hereby apply for HDFC Bank International Credit Card(s) and declare that the information included in this
application is true and correct and that I am a Resident Indian/that I am a foreign national working in India
and that I am eligible to apply for an internationally valid card. I accept that HDFC Bank is entitled in its
absolute discretion to accept or reject this application. It is my responsibility to obtain the terms and
conditions applying to the HDFC Bank International Credit Card(s) separately and read the same. I will be
bound by the terms and conditions as may be in force from time to time and receipt/use of the card shall be
deemed to be acceptance of those terms and conditions. I authorise HDFC Bank and/or its associates to
verify any information or otherwise at my office/residence or to contact me/my employer/banker/credit
bureau/RBI or any other source to obtain or provide any information that may be required for confirming
membership requirements or maintaining my account in good credit standing. I agree to be charged my card
fee in my first statement. In case I have applied for Add-on card(s) (available for resident Indian parent/
spouse/ brother/sister/child over 18 years of age at a special rate) I will be billed for such an Add on card in
the normal monthly statement. I, the primary applicant will be liable for all charges incurred with the Add-on
card(s) issued on the account and each Add-on applicant will be liable for all charges incurred with the Add-
on - card jointly and severally with the holder of the primary card. The facility of Add-on card(s) being a
special facility at a concessional fee/rate, continuation of the Add-on cardmember will be dependent on the
continuation of my membership. I understand and undertake that the usage of the HDFC Bank International
Credit Card(s) shall be strictly in accordance with the exchange control regulations, of the Regulatory
Authorities as applicable from time to time which I undertake as my responsibilities to keep myself updated
of, and in the event of any failure to do so, I will be liable for action under the Foreign Exchange Management
Act, 1999 or its statutory modification or re-enactment thereof. I confirm that I have no insolvency
proceedings pending against me nor have I ever been adjudicated insolvent. I agree that my signature on
the charge slip will amount to an unconditional undertaking by me to pay HDFC Bank the amount stated
therein and agree that a copy of my periodic statement of accounts will be a conclusive evidence of my
liability for the charges stated therein. My liability under the charge slip signed by me shall not withstand any
dispute I may have with respect to the quality/quantity of goods purchased or quality of services obtained. I
will not hold the bank responsible if any outlet/franchisee refuses to accept the card. I authorise HDFC Bank
to disclose, from time to time, any information relating to my Credit Card(s), (including any default in
payments) to any other card issuer, credit bureau, financial institution, any parent/subsidiary, affiliate and
associate of HDFC Bank, and to third parties engaged by HDFC Bank, for purpose such as marketing of
services, proper operation of Credit Card accounts and other administrative services. The bank will be
entitled to cancel my card(s) at any time without assigning any reasons. I understand Service Tax as
applicable from time to time will be levied on fees, interest and other charges, as per government guidelines.
I understand that Service Tax is not applicable on my regular purchases. I am aware that the bank reserves
the right not to return the supporting financial documents given by me along with the application. I have
received and read the detailed terms and conditions and agree to abide by them, once I am alloted the
Credit Card. I hereby confirm that I have also read and understood the contents of the Schedule of Charges
and disclosure details, and agree to be levied various charges mentioned therein as and when applicable to
me. I confirm that basis my eligibility HDFC Bank shall at its sole discretion reserves the right to issue any
existing card product in their portfolio. Credit limit on any card account may be reviewed as per the Bank
policies specified from time to time and the Bank reserves the right to revise (increase or decrease) and / or
unconditionally cancel the limit assigned on a Card without any prior notice to the Cardmember. I also
understand and agree the fact that the Bank is authorized to change any or all of the Terms and Conditions
of the Schedule of Charges at its own discretion. I authorize the Bank to record specific conversations
between me/my representative and the Bank's representative, in case of grievance-related conversations
or payment-recovery-related conversations or any other conversation that the Bank may deem fit, at its own
discretion. I agree to abide by any Terms and Conditions as may be added/amended by the Bank from time
to time without giving notice to me, regarding this Credit Card and any other facility/loan product that I avail
through this Credit Card or any other Credit Card that I may be issued by the Bank in the future.
I agree to receive my card statements through E-mail on the E-mail IDs mentioned in the application form.
I am aware that my new credit card would be automatically registered for Net Banking incase I am already
a HDFC Bank Net Banking customer. I understand that HDFC Bank will provide me a credit card according
to the Bank's internal guidelines. I hereby give my consent to the Bank to provide me a different card in case
I am not eligible for the product applied for. I am aware that female customer applying for Gold Credit Card
will be issued Woman's Gold Credit Card.
Primary Applicant's Signature Date.............................. Add-on Applicant's Signature Date..............................

HDFC Bank customers need to sign as per bank records

I agree to participate in any or all of the Card Upgrade programmes or Limit Enhancement programmes that the Bank may conduct on my card account
from time to time as part of periodic portfolio reviews.
I consent/ do not consent to receive information/service for marketing purposes through Telephone/Mobile/SMS/e-mail/any other mode from the
Bank/or its agents
Primary Applicant's Signature Date..............................

HDFC Bank customers need to sign as per bank records

KIndly note that approximate Credit Card processing time is about 2 - 3 weeks from the date of submission of completed form

Form No. 60 (see Third Provison to Rule 114B)

Form of declaration to be mandatorily filled by a person who does not have a Permanent Account Number

1. Full Name & Address: 4. Address proof attached:

Passport Driving Licence Utility bill (incl. Mobile postpaid bill) Ration Card Voter ID

Bank account statement/passbook Leasedeed/Rent aggreement copy

Registration documents / Ownership proof copy Others (please specify)

VERIFICATION
2. Are you a tax assessee Yes No
I do hereby declare that what is stated above is true to the best of my
3. If YES knowledge and belief.
A. Details of ward/circle/range where the last ITR was field Verified today the day of
B. Reason for not having PAN Number Place:
Primary Applicant's Signature Date..............................

HDFC Bank customers need to sign as per bank records

 HDFC BANK CREDIT CARDS
FEATURES CUM APPLICATION FORM

CARD FEATURES
Platinum Plus Credit Card
Enjoy premium lifestyle benefits
Enjoy discounts at over 28,000 hotels and resorts worldwide through a complimentary Travel Club Holiday
Membership (powered by RCI)
2 Reward Points per Rs. 150 spent on all retail spends
Avail 0% Fuel Surcharge across any petrol pump anywhere in the country

Titanium Credit Card

Enjoy exclusive travel benefits
Enjoy 10% Cashback on all Air Tickets and Hotels booked on www.yatra.com through MasterCard Travel
Benefits program
Get 5 Reward Points per Rs. 150 spent for all international spends
Get 2 Reward Points per Rs. 150 spent for all domestic spends
Avail 0% Fuel Surcharge across any petrol pump anywhere in the country

Gold Credit Card

Spend more and Fly Free
Enjoy 5% Cashback on Air tickets booked on domestic airline websites
Get 5% Cashback on Rail tickets booked on www.irctc.co.in
Earn 2 Reward Points per Rs. 150 spent. You can enjoy free tickets by redeeming them for air miles across
leading airlines (in addition to gifts/vouchers)
* Cashback subject to total amount due in the current statement being atleast Rs. 25,000 with cashback cap of Rs 1000 p.m.

Woman's Gold Credit Card

Enjoy savings on your daily shopping
5% Cashback* at Grocery, Supermarkets and Medical Stores
Earn 2 Reward Points per Rs. 150 spent. You can enjoy free shopping by redeeming them for shopping vouchers
(in addition to gifts/airmiles)
* Cashback subject to total amount due in the current statement being atleast Rs. 20,000 with cashback cap of Rs 1000 p.m.

Value Plus Credit Card

Enjoy upto 5% Cashback for a Lifetime on all Retail Spends
5% - Medical Stores, Hospitals and Railway Ticketing
1.5% - Groceries, Supermarkets, Departmental Stores and Restaurants
0.5% - all other Retail spends
* Cashback subject to total amount due in the current statement being atleast Rs. 7,500 with cashback cap of Rs. 500 p.m.

Silver International Credit Card

Earn while you spend:
Get 1 Reward point for every Rs. 150 spent on your card.

Business Gold Credit Card

(PAN Card Mandatory)
Avail 0% Fuel Surcharge across any Petrol Pump anywhere in India
Attractive Tiered Interest Rate Feature
Master Card Benefits - Preferential offers across more than 50 Merchant establishments

Exclusive features of all HDFC Bank Credit Cards

Worldwide Acceptance: Accepted at over 23 million merchant establishments worldwide
Zero Liability on Lost Cards: In the event of you losing your card, just report the loss immediately to our Call Centre and you will not have any
liability for subsequent transactions on the lost card.
Powerful MyRewards Program: Earn attractive reward points on all your card spends, and redeem the points for exciting gifts, vouchers or airmiles
across your favourite airlines (not applicable on Value Plus Card)
0% Balance Transfer: Enjoy attractive savings by transferring the outstanding balance from your other bank credit card at 0% interest for the first
3 months
Add on Cards: Get upto 3 Add-on cards for your spouse, children (over 18 yrs), parents or siblings
Easy Payment Options: Make your credit card payments at your convenience by dropping a cheque at any HDFC Bank branch. If you are a HDFC
Bank customer, visit an ATM or just opt for a standing instruction to debit your HDFC Bank savings account.
SmartPay: Register for SmartPay facility & experience hassle-free payments for utility bills (mobile, landline, electricity, insurance, etc)
Net Banking: Enjoy the freedom of accessing your credit card account anytime/anywhere through the Net Banking facility
E-Statements: Access your credit card statement conveniently through e-mail
Smart Alerts: Subscribe to Smart Alerts and stay updated about your transactions, statements & payments through SMS
Terms and condition apply. Please visit www.mastercard.yatra.com for details.
 HDFC BANK CREDIT CARDS
FEATURES CUM APPLICATION FORM

REGULAR CARD OFFERINGS

My City Benefit Card Smart Alerts

Complement your life style with My City Benefit Card : Load your card with Smart Alerts - SMS Alert Service on your
Petrol : 0% Surcharge on Fuel spends HDFC Bank Credit Card
(Save 2.5% every time you fill fuel at ANY petrol pump.) 1. Get Transaction Alerts on :
Retail Transactions above Rs.2500 (above Rs. 5000 on Titanium,
Platinum Plus)
Utilities : 1.5% Cashback on utility, SmartPay, PayNow and Visa
Cash withdrawals
Billpay payments through your HDFC Bank Credit Card.
My City benefit card alerts
Cashback is applicable for telephone, mobile, electricity All feature related cashback credits
and insurance bill payments only. You can earn Max of
2. Get Statement / Payment Alerts on
Rs. 500 cashback in a month.
*My City Benefit Card eligible for Silver, Value Plus, Gold or Woman's Gold Credit Total / Minimum Amount Due along with Payment Due Date
Card only. Advance Payment reminder
Payment confirmation / Return
Internet transactions

Cash On Call (CoC) Net Banking

Cash on fingertips - only through your HDFC Bank International Now access your Credit Card account from home or office or
Credit Card
even while travelling with Credit Cards Net Banking:
Low Interest Rate
You can request :
Avail cash basis card eligibility at attractive interest rates.
Quick & Hassle Free AutoPay Registration / Deregistration*
CoC amount can be send in the form of DD drawn in the customer's Statement on Email
name as per HDFC Bank Credit Card records OR credited to his Credit Card ATM PIN
HDFC Bank Savings A/C. The repayment of the loan can be made New Card Registration
in easy instalments of 12, 24, 36 & 48 months tenure. Card Deregistration
Updation of contact details
Credit Card payments*
Balance Transfer This facility is available only for HDFC Bank Account Holders

Enjoy flexibility to transfer the outstanding balance on your existing You can view:
card at attractive rates Account Information
Unbilled Transactions
0 % Interest for the first 3 Months Credit Card statements
Flexibility of paying the balance at any point of time
Option of paying in EMIs.

SmartPay
Register for SmartPay to pay your utility bills on standing instructions on your card
You can apply for smartpay from the list of billers in your respective region from the table below:

Andhra Haryana/ Rest of West

CITY National Chandigarh Delhi Goa Gujarat
Punjab Karnataka Kerala Madhya Mumbai Nagpur Tamil Nadu Bengal
Pradesh Pradesh Maharashtra
Torrent Power Airtel (Mobile) (Tele)
BILLER 1 Birla sun life Airtel Airtel Airtel Airtel Airtel Airtel Airtel Airtel Idea Airtel Airtel Airtel
Ahmedabad
BSES Torrent Power Spice Aircel
BILLER 2 ICICI Prudential Hutch Vodafone (Yamuna & Rajdhani) BPL Mobile Surat Hutch Idea Idea Vodafone Vodafone (Chennai) Hutch
Om Kotak Life Idea Spice MTNL Idea Idea Cellular Spice Touchtel BPL Mobile Idea Hutch
BILLER 3 (Chennai) CESC
Max New York LIC Touchtel
BILLER 4 Idea Hutch BSNL (Tele) Airtel Touchtel Reliance Energy BSNL (Pune) (Chennai)
Life Insurance (Hyderabad)
BSNL BSNL MTNL-Telephone, BSNL
MSEB (Pune) (Chennai)(Tele)
BILLER 5 Aviva Life Insurance Idea (Ahmedabad Tele) (Bangalore)(Tele) Garuda Mobile
BILLER 6 Reliance Life Insurance Touchtel Hutch BESCOM MSEB LIC (Chennai)

BILLER 7 Reliance India Mobile

BSNL Tata power
(Faridabad & Gurgaon)
BILLER 8 Tata Indicom NDPL BEST
BILLER 9 SBI Life Insurance BSNL (Kalyan) (Tele)

The detailed list of Most Important Terms & Conditions will be made available by the Sales Personnel on
demand. A copy of the same is also available on the website www.hdfcbank.com in the Credit Card section.

DOCUMENTS REQUIRED WITH THIS APPLICATION

Please attach self attested copies of all required documents.
Documents required as per regulations: Document required for assigning Credit limit on your Card.
KYC requirements
Income documents
ID proof Address proof
Other Surrogate documents in lieu of Income documents
Income Tax records
The above documentary requirements are subject to change based on
Copy of PAN Card Form 60 duly filled and signed, with address proof regulatory requirements and internal policies of HDFC Bank.
 CREDIT CARD BROCHURE
CUM APPLICATION FORM

S M A R T PAY
Name of the Company City Details 1 Details 2 Details 3
Telephone Tel No Cast A/C No.
Electricity Billing Unit No Cycle No.
Mobile Co 1 Mobile No. A/C No. Smart Pay *Limit
Mobile Co 2 Mobile No. A/C No. Smart Pay *Limit
Insurance Co Policy No. Cost ID Premium Amt.
* To set a maximum limit of payment that can be made towards the billing company; *Mandatory Field. E-mail ID (Mandatory for LIC)
1) You can apply from only the list of the billers provided in the table under smartpay on Regular Card Offerings
2) Please sign on the reverse side for smartpay after reading the terms and conditions
3) Please provide a copy of the latest bill (any of the last three bills received from your utility company); for each utility company opted above to enable us to verify the
customer account details. For additional billers please provide the above details on a seperate sheet, sign it and attach with the form.
4) Only duly completed forms will be accepted.
5) Continue making bill payments towards the above mentioned utility company bill outstandings until you receive a SmartPay activation confirmation through email /
SMS / Letter.
I agree to be levied processing fee of Rs. 10/- plus service tax for each bill paid on my behalf on my HDFC Bank Credit Card. I agree and
Primary Applicant's Signature Date..............................
accept that HDFC Bank reserves the right to withdraw this offer without any prior information to me. I hereby declare that the above
information is correct and complete and request that SmartPay facility be provided to me. I acknowledge that I have read, understood
and agree to be bound by the SmartPay Terms & Conditions that are currently in effect and as may be amended from time to time.
I declare that I have not registered for any other alternate mode of payment for any of the bills mentioned above and I agree that my HDFC Bank customers need to sign as per bank records
registration would be rejected if already registered with any other service provider.

CASH-ON-CALL (COC)
Please fill in your requirement:
Cash-on-Call Amount in Fig (Rs.): _____________
Cash-on-Call Amount in words: Rupees _______________________________ only
I agree and abide by the following Terms & Conditions:
Cash-on-Call tenure (Months): 12 24 36 48
Processing of COC is subject to the approval and successful delivery of the HDFC Bank Credit
Cash-on-Call Rate of Interest (p.m): . % per month Card I have applied for. I hereby agree to accept the COC of an amount /tenure as mentioned.
I request that the loan may be disbursed by (Please choose whichever is applicable) I understand that the applicable processing fee is 2% of the COC Amount or Rs. 200/-
whichever is higher (exclusive of applicable service tax). The COC Amount approved for would
Delivery of Manager's Cheque drawn on my name as mentioned in Bank's records
be blocked against my HDFC Bank Credit Card limit. Approval of COC is at the sole discretion
Credit to my Savings/Current account no. (in my name) held with HDFC Bank (Recommended) of HDFC Bank
Primary Applicant's Signature Date..............................
HDFC Bank Account No:
* HDFC Bank Credit Card No: (Signature as per bank records)

BALANCE TRANSFER APPLICATION FORM

Issuing Bank Card No. Expiry Date Amount to be transferred

Name as it appears on your existing card

This is to confirm that I am applying for: Regular Bt BT on EMI
After approval and subsequent issuance of HDFC Bank International Credit Card, I wish to avail of the Balance Transfer Facility on the following terms and conditions:
1) Transfer amount is subject to a minimum of Rs. 2500, but shall not be in excess of the outstanding balance on the other card account 2) Balance Transfer is not applicable from other card accounts which have an
overdue status or where the credit limit has been exceeded. 3) Balance Transfer will notbe accepted from other existing HDFC Bank Credit Card accounts. 4) The cardmember will continue to make payments to the other
card issuer until he receives a cheque/DD/pay order from HDFC Bank favouring the other card issuer. HDFC Bank will not be liable for any new charges, overdue payments, interest charges, etc. on the said card account.
5) The preferential rate of interest for regular balance transfer will be for a period as communicated while applying for the balance transfer facility. This period will be calculated from the date of cheque/DD/pay order
favouring the other card issuer, or the date when the balance transfer amount is charged to your HDFC Bank Credit Card, whichever is earlier. 6) For balance transfer on EMI, the applicable interest rate will be 1.45% p.m.,
for tenure of 12 months. Hence, the repayment will be in Equated Monthly Instalments (EMI) over 12 months. 7) HDFC Bank reserves the right to accept or reject any Balance Transfer request. These terms and conditions
shall be deemed to be a part of The Cardmember Agreement and are incorporated therein by reference. 8) Balance Transfer request once approved and processed cannot be cancelled.
BT on EMI : A. I understand that the Balance Transfer amount would be converted to Equal Monthly Installments and would reflect in the monthly credit card statements for 12 months. B. I understand that the
applicable interest rate is 1.45% p.m. for a period of 12 months
Primary Applicant's Signature Date..............................
Aug ' 08

HDFC Bank customers need to sign as per bank records