Credit Card Member-get-Member Referral Program Application Form

To be eligible to apply for a Citi Credit Card, you must be at least 18 years of age and meet the annual income requirement of your card choice.
We will obtain and verify with you all the information submitted within 7 to 10 business days.

Please complete all fields in ENGLISH. (Click HERE for Key Facts Statement)

*The field is mandatory.

PERSONAL INFORMATION

Please select Title
( )
Please enter a valid HKID number
Please enter Given name
Please enter Given name in English
Please enter Surname
Please enter Surname in English
Please enter Date of birth
Please enter Mobile number
Please enter 8-digit Mobile number
Please enter valid Email address
Please enter valid Referrer’s ref no. / 16-digit credit card no.
Please enter valid Referrer's ref no.
Please enter valid 16-digit credit card no.
Please select your relationship with referrer
Please select Nationality
Please select Education level
Please enter Other Education level
Please select Marital status
 /   / 
Please enter either Unit, Floor or Block of Residential address
Please do not input any punctuations
Please enter Building name of Residential address
Please do not input any punctuations
Please enter Estate name of Residential address
Please do not input any punctuations
Please enter street number and name of Residential address
Please do not input any punctuations
Please select District of Residential address
Please enter 8-digit Home number
Year(s) Month(s)
Please enter the Year(s) and Month(s) at current residence
Please select Residential type

ABOUT YOUR WORK

Please indicate if you are Self-employed
Please enter Job title
HK$
Please enter Monthly salary
Please enter Company name
Please select Industry
Year(s) Month(s)
Please enter valid Year(s) and Month(s) in service
Year(s) Month(s)
Please enter valid Year(s) and Month(s) in industry
 /   / 
Please enter either Unit, Floor or Block of Company address
Please do not input any punctuations
Please enter Building name of Company address
Please do not input any punctuations
Please enter Estate name of Company address
Please do not input any punctuations
Please enter Street number and name of Company address
Please do not input any punctuations
Please select District of Company address
Please enter 8-digit Office number

ADDITIONAL INFORMATION

Please select Mailing address
These amazing information includes:
  • ● Travel, dining, shopping and all other credit card privileges
  • ● Citi Thank You Rewards promotions
  • ● Citi World Privileges
Please agree to the terms and conditions
*Are you a relative/ spouse of any of the Bank's Director/ Employee?
Please select if you are a relative/ spouse of any of the Bank's Director/ Employee and indicate his/her Name and Department
Please select if you are a relative/ spouse of any of the Bank's Director/ Employee and indicate his/her Name and Department
Please select if you are a relative/ spouse of any of the Bank's Director/ Employee.
*Do you or your immediate family member currently hold / have held a position as a senior public figure?
Please select if you or your immediate family member currently hold / have held a position as a senior public figure and indicate the related information.
Please select if you or your immediate family member currently hold / have held a position as a senior public figure and indicate the related information.
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Opt out from Use of Personal Data in setting up Octopus Automatic Add Value Service and enrolling for the membership of the Octopus Rewards Programme
I understand that Citibank will not be able to process my application if I do not agree to provide data for the purpose of setting up and operation of the Octopus Automatic Add Value Service.
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