I would like to request for CITIBANK Internet Banking access for:
Bank Account Name: MR. MATERAZZI DANN PAULO and
Bank Account Number: 31926819
I have read and understood the Terms and Conditions applicable to CITIBANK Bank Internet Banking.
I request CITIBANK Bank to issue me a User-ID and Password in order to access my benefactor CITIBANK Bank Internet
Banking account.
I have duly submitted or will attach all relevant authorization documents from the account holder to this application.
I am the authorized Next Of Kin signatory to the Above mentioned account. Please give me the necessary exemptionfrom
Self Registration Process in order for me to complete the registration & activation for CITIBANK Bank Internet Banking.
Third Party Information
Complete this section only in the case of representation if not Ignore. If the account holder is a minor or legally incapacitated,
their legal representative must submit the application for on their behalf. Please tick the applicable box.
I am completing this form for:
A minor (under 18 years).
Account holder is alive but Abroad in a location without access to internet banking.
Account Holder is deceased and am the Next of Kin.
Please fill in your details and submit the death certificate (or a copy) and the certificate of inheritance (or a copy) for
cases of deceased account holder.Please contact CITIBANK if you do not have a certificate of inheritance.
Details of representative
SURNAME KRUSE
FIRST NAMES (IN FULL) SILVIA
DATE OF BIRTH (DD-MM-YYYY)
ADDRESS EINSTEINSTRABE 27 GREIFSWALD
POSTAL CODE, TOWN/CITY AND COUNTRY 17491 GERMANY
TELEPHONE NUMBER 1737363181
EMAIL ADDRESS
[email protected]Note
For jointly operated accounts with (Either or Survivor) mode of operations only one(1) signatory is required to CITIBANK Internet Banking.
Authority Letter should be accompanied with documentary evidence i.e. copy of Passportholding valid documentary evidence (e.g. International
Passport, Drivers License, Utility Bill, Residence Card, Employment Card, Work Permit etc.)
Applicant Name: MR. MATERAZZI DANN PAULO
Title of Account: MR. MATERAZZI DANN PAULO
Branch Name: CITIBANK EUROPE PLC SWEDEN BRANCH
Account Number:3 1 9 2 6 8 1 9
Access Level View Allow Transactions
Required: Only
Account Holder currently residing out of Sweden in Xenokratous 31, Kolonaki - Lykavittos
Postal address:
City/State: ______Athens Country: Greece
Signature:
Note
For jointly operated accounts with (Either or Survivor) mode of operations only one(1) signatory is required to CITIBANK Internet Banking.
Authority Letter should be accompanied with documentary evidence i.e. copy of Passportholding valid documentary evidence (e.g. International
Passport, Drivers License, Utility Bill, Residence Card, Employment Card, Work Permit etc.)
