Personal Information
Yuan

Including salary, bonus, allowance, commission, etc.

Please fill in a contactable company phone number

Year
Other Service

Your e-statement service will be automatically activated,You can call Citibank if you intend to disable any of the above functions or services.

Your FX repayment (Credit balance of RMB credit card for auto FX full repayment) will be automatically activated, when your USD card approved. You can call Citibank if you intend to disable any of the above functions or services.

Terms and Conditions
  • I declare the information and supporting documents I provided under this credit card application form are true and correct, and I am willing to take full responsibilities arising from the inauthenticity of such information or supporting documents. Whether or not the application is approved, Citibank China reserves the right to retain these information and documents. I have read and am fully aware of the Article 9 “Information Disclosure Authorization” in <Personal Credit Card Agreement>, and I hereby authorize Citibank China for the purpose of providing me with required Citibank credit card products or services:
  • (1)to disclose any information in relation to me or my credit card to the parties as stated in <Personal Credit Card Agreement>, including but not limited to service providers or outsourcing parties as well as any third parties selected by any of the above parties, to verify the authenticity and accuracy of the provided information ( including ID information, income, education background, employment or other personal information as deemed relevant to the application and use of credit card by Citibank China);
    (2)to lawfully enquiry, obtain, use and retain all my credit information, and permit Citibank China to submit any of my personal and credit information to Credit Bureau of PBOC.
  • I have read credit card Fee Table(please click to read the full content) on this application form and have been aware of
  • (1)Citibank Rewards card charges no annual fee for the first year. Conditions for waiver of the annual fee of Citibank Rewards Card for subsequent years include: swipe 6 times a year of CUP primary card and get the subsequent year’s annual fee waived;
    (2)An interest charge accrued daily at 0.05% per day for each transaction and compounded on a monthly basis or any other interest charge as agreed by PBOC.
  • I have read and agreed to comply with the Terms and Conditions as set out in theCitibank Personal Credit Card Charter, Citibank Personal Credit Card Agreement, (please click to read the full content), Citi Rewards Program (details see Citibank website), risk notice, fee table and all sections in this form. I have read and agreed to comply with the above documents, including the “Information Disclosure Authorization” clause in Citibank Personal Credit Card Agreement.
  • I acknowledge and agree that the China UnionPay IC chip credit card issued by Citibank is equipped with Quick Pass and bypass pin/signature function for small amount transactions燼t China UnionPay selected merchants. The current threshold per transaction for bypass pin/signature is RMB 1,000 as laid down by China UnionPay. I hereby agree to abide by the Terms and Conditions of Quick Pass and Bypass Pin/Signature function for Small Amount Transactions(please click to read the full content). I will call the bank if I need to燿isable the PIN/signature bypass function.
  • I understand and agree to the issuance of credit cards (RMB and/or USD cards) in any currency, subject to the final decision of Citibank.
  • If I apply for another Citibank credit card through any channel based on this application, the additional credit card or cards will also comply with the Terms and Conditions as set out in the Citibank Personal Credit Card Charter, Citibank Personal Credit Card Agreement, fee table and all sections in this form, even if the credit card issued based on this application is cancelled.
  • Upon the approval of my credit card application, I agree to comply with other corresponding rules issued by Citibank.
  • I understand and agree to accept that Cash Equal Payment Plan, I need to accept Citibank (China) Credit Card Cash Equal Payment Plan Terms and Conditions (please click to read the full content).
  • I understand and agree to accept Citibank complimentary credit card insurance (including the RMB 10 million travel insurance offered by Citi Prestige card or 5 million travel insurance offered by Citi Premier Miles card) and services. I hereby agree to abide by the terms and conditions of the insurance product and services and to have my information disclosed to the relevant insurance agencies and service providers for the purpose of insuring complimentary credit card insurance; and I agree that the relevant insurance agencies and service providers may further disclose my information to its third party for providing the relevant services to me. I confirm that my accompanying spouse and children agree the insurance coverage, and I agree to undertake the losses resulting from the insurance contract being invalid since my accompanying spouse and children disagreeing the insurance coverage.
  • I hereby agree to receive from Citibank marketing promotion information relating to Citibank’s financial products and services (including the financial products and services distributed by Citibank as an agent) via the channels including SMS, Email, mail and/or telephone.  I will call the bank if I intend to disable any of the above channels.
  • I agree for the bank to open Citibank Online Banking and Citi Mobile Services (including online fund transfer and payment) and e-channel online payment services (including, but not limited to Union Pay online payment service). I will call the bank if I need to terminate this service.
  • I understand the products and services mentioned in this application form are not offered to individuals resident in the European Union, European Economic Area, Switzerland, Guernsey and Jersey. This application form is not, and should not be construed as, an offer, invitation or solicitation to buy or sell any of the products and services mentioned herein to such individuals.
  • If you are an existing customer of Citibank, the information you provided during this card application will be used to update your existing information with the bank, including Primary Mobile Number, Email Address, Work Information, Marital Status, ID Issue Date/Expiry Date and Issuing Authority.

Please provide your primary mobile number in China with valid ID verification.