I understand that my data provided herein will be submitted to Citibank (Hong Kong) Limited (“Citibank”/ the “Bank”). I understand and agree that the Bank will only update any change to my existing records (if applicable) after successful identity verification. I confirm that I have received, read, understand , and agree to the Customer Declaration, relevant Terms and Conditions, Citi Credit Card Agreement, Citi UnionPay Credit Card Agreement, Citi Octopus Credit Card Agreement, Citi HKTVmall Card Agreement, Citi The Club Credit Card Agreement, including but without limitation, the agreement of individual product(s), the Citi Credit Card Key Facts Statement And Fees Schedule, the Policy Statement relating to the Personal Data (Privacy) Ordinance (“Policy Statement”), Terms and Conditions for Octopus Automatic Add Value Agreement/ Conditions of Issue of Octopus (if applicable), Terms and Conditions of Citi The Club Credit Card Clubpoints Rebate Program (if applicable), Personal Information Collection Statement of Club HKT Limited and Privacy Statement (for Customers) of HKT Group (if applicable), Terms and Conditions of The Club (if applicable) and the Welcome Offer Terms and Conditions and Major Terms and Conditions of Citi Credit Cardholder/ Cardmember Agreement. I agree that all Terms and Conditions of the Agreements, the Policy Statement relating to the Personal Data (Privacy) Ordinance and this form will constitute my agreement with Citibank for the application and the use of such Citi Credit Card. I understand that Citibank will review my credit report from the Credit Reference Agency (TransUnion) in assessing this application or other credit facilities provided to me.
Citibank may use your email address to provide you with the information relevant to your use of Citibank's products and services including but not limited to e-statement, e-Advice, Terms and Conditions, Notice of Amendment, and other promotional/marketing materials. Citibank does not bear any responsibility if the email transmission is delayed or disrupted for reasons beyond its control.
I agree to be contacted by Citibank staff and to provide other personal information and to complete my application over the phone when he/she contacts me.
The Bank will only update any change to my existing records (if applicable) after successful identity verification.
Citibank will review my credit report from the Credit reference agencies in assessing this application or other credit facilities provided to me.
Application process will start immediately and will take a few steps to complete. Citibank will immediately access my credit report from the Credit reference agencies in the course of this application notwithstanding I may not have already completed all the steps. And I agree Citibank may contact me via phone contact listed in my credit report. Such access will be recorded in my credit reference report immediately and cannot be undone, even if I do not complete all the application steps or that this application is unsuccessful or cancelled. I am entitled to request for a Credit Report from each Credit Reference Agency without charging in any twelve-month period respective to each Credit Reference Agency.
I consent to the Bank to transfer all or part of my information provided above ("the Information") to Credit reference agencies for the purpose of matching the Information against the data held in the database of Credit reference agencies from time to time in order to verify my identity. I acknowledge that the Bank will not process, record or keep any of the Information in any manner.
I consent to and authorize Credit reference agencies to access all or part of my consumer credit data which may be held in its database from time to time ("My Credit Data") and to:
(i) match all or part of My Credit Data against the Information transferred by the Bank to Credit reference agencies pursuant to the consent given in the paragraph above; and
(ii) generate questions directly or indirectly from any or all of the information contained in My Credit Data whether on its own or in conjunction with other source of information, collect responses to such questions from me and match such responses against any information contained in My Credit Data for the purpose of verifying my identity as part of assessment of my credit related risks in relation to my application and thereafter to process, use and transfer the result of the verification or any data arising therefrom to the Bank. I acknowledge that Credit reference agencies has sole control and access to questions that may be posed to me and my responses thereto.
The issue of any Citi Credit Card to me will be accompanied by the relevant Citi Credit Card Agreement/the Conditions of Issue of Octopus and Octopus Automatic Add Value Agreement issued by OCL, whichever is applicable (each an "Agreement", as amended from time to time), copies of which are also available upon request and the Agreements provided by OCL can be obtained from the Octopus website, www.octopus.com.hk.
I may from time to time apply for further Citi Credit Cards from Citibank and Citibank may issue the same to me without a written acknowledgement of the relevant Agreement(s).
To help prevent money laundering and terrorist financing, the laws of many jurisdictions, as well as Bank's policy, I understand that you will require me to provide information that identify me who apply for a credit card with Citibank and that such information will be verified and recorded. When I apply for a credit card, you will ask for my name, address, date of birth, and other information that will allow you to identify me. You will also ask to see and retain a copy of my photo ID or other identifying documents.
I warrant that all the information provided in this form is correct and complete. Citibank will only update any change to my existing records (if applicable) after successful identity verification. I accept after successful verification, Citibank will contact me for information about my use of Citibank services and product & services alerts including but not limited to receiving e-statements (on subscription) and other promotional/ marketing materials. However, in the event of unsuccessful verification or card application, I understand that the bank will not update its records and will continue to use my existing record to contact me. I will update Citibank immediately on any subsequent changes to the above information. I authorize Citibank to verify the information provided in respect of this form from and/or exchange it with any source. I also understand that account opening and/or the provision of any service by Citibank is subject to Citibank's internal approval, and is subject to my full acceptance of the relevant Terms and Conditions, agreements and declarations in respect of this form.
I warrant that I am not bankrupt; no petition for bankruptcy is presented against me; I am not insolvent; no application by me or any other person for an interim order for making a debtor's proposal for voluntary arrangements.
Citibank, employees of Citibank, authorized agents of Citibank or any of Citibank affiliates may act in different capacities, and may be remunerated, or may receive benefits or profits, either directly or indirectly in connection with the services provided. The remuneration of employees or authorized agents of Citibank may comprise a fixed pay and/or a variable compensation which is determined by a number of factors including the sales performance.
All information requested by Citibank during the credit card application process is necessary (unless otherwise specified as optional) for Citibank to process my application. Citibank reserves the right to proceed or terminate the application if I failed to provide the same to Citibank. I agree that my personal data and information collected by Citibank from time to time may be used and disclosed for such purpose and to such persons (whether in or outside Hong Kong) as set out in the Policy Statement.
I agree to your recording all my telephone conversations with you. In any event, you may refuse to accept this application in the light of my individual circumstances.
The email provided will be used for electronic communication for this application, that electronic messages may contain viruses or may be delayed and that there are confidentiality and other risks associated with the delivery of customer communication. The Bank shall not be held responsible for any of these occurrences or for any unauthorized access and/or alteration to any e-mail communication. All electronic communications will be deemed to have been received by me on the day that the Bank sends the e-mail to the relevant e-mail address, even if the recipient does not access the electronic communication for any reason.
I understand and agree that (a) Citibank may require my income or asset proof (e.g. copies of bank statements, saving passbook, current time deposit certificate) as supporting documents for this Application, and/or (b) if I have made any representation of property ownership in this Application, Citibank may obtain Land Records from the Land Registry to verify my property ownership without further notice if I have not provided sufficient supporting documents for Citibank to assess this Application.
I agree and accept that Citibank reserves the right to continue processing this Application even if I have not provided any supporting documents for this Application, which shall not be regarded as my cancellation of this Application.
The promotions, products and services mentioned in the referenced document are not offered to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey and Jersey, Monaco, San Marino, Vatican, The Isle of Man, the UK, Brazil, New Zealand, Jamaica, Ecuador or Sri Lanka. The referenced document is not, and should not be construed as, an offer, invitation or solicitation to buy or sell any of the promotions, products and services mentioned therein to such individuals.
The Welcome Offers are only applicable to customers who currently do not hold, have not cancelled or have not held any principal card of Citi Credit Card within the past 12 months from the month of application for the Eligible Card (Except for applicants of Citi Prestige Card and selected applicants of Citi Octopus Credit Card). Customers must submit the application form and successfully apply for a principal card of the selected credit card during the Promotion Period. All Welcome Offers are subject to Welcome Offer Terms and Conditions.
With respect to this form and any other relevant documents, in case of any discrepancy between the English and Chinese version, the English version shall prevail.