HTML Preview Credit Card Cancellation Letter page number 1.
CREDIT CARD CANCELLATION REQUEST FORM
DATE:
CARDHOLDER’S DETAILS
PRINCIPAL’S NAME: _____________________________________________________________________________
CONTACT NO: (H) ______________________ (OFF) ________________________ (HP) ______________________
CARD CANCELLATION
PRINCIPAL’S CREDIT CARD: (1)
(2)
SUPPLEMENTARY’S NAME: ______________________________________________________________________
SUPPLEMENTARY’S CREDIT: (1)
CARD NO (2)
CANCELLATION REASON (PLEASE TICK):
GOVERNMENT SERVICE CHARGE
ANNUAL FEE TOO HIGH
TOO MANY CARDS
NO USAGE
PAYMENT INCONVENIENCE
OTHERS ________________________________________
*Important Note:
Citibank will take a minimum of 5-7 working days to block your account upon receiving the credit card cancellation request form.
Before Citibank can proceed with your card cancellation, you are FULLY liable to settle IN FULL any outstanding balances including
unbilled retail transactions, installments (such as Dial For Cash, EasyPay Plan, FlexiPayment Plan & Balance Transfer) & your
Citibank One-Bill, Survival Cash Plan and Card Protection Premier, if any.
Any unbilled installments (such as Dial For Cash, EasyPay Plan, FlexiPayment Plan & Balance Transfer) and your Citibank One-Bill,
Survival Cash Plan and Card Protection Premier, if any, will immediately become payable IN FULL.
You shall assume full responsibility to inform the respective Autopay merchants (E.g Insurance/ Household Bills) of your card
cancellation. Citibank do not have any obligation to inform the merchants of your account closure. You shall be liable for any Autopay
transactions charged to your account while Citibank performs the cancellation of your account.
All your reward points (if any) or any remaining rebates (if any) would be forfeited upon the cancellation of your credit card, (Kindly
redeem your reward points via Citibank Online or CitiPhone before submitting your cancellation request)
CARDHOLDER’S SIGNATURE
__________________________________________
NAME: ___________________________________
IC NO: ___________________________________
Please complete this form and return to:
Fax: 03 – 2383 6666
Mail: Citibank Berhad
Customer Correspondence Unit
P.O Box 11725
50754 Kuala Lumpur
Please call if you have any inquiries:
CitiPhone: 03- 2383 0000
FOR OFFICE USE ONLY
OFFICER IN CHARGE: _______________________
JA JB PG PUCH DP
KLG BT
DATE RECEIVED: ___________________________
COMMENTS: _______________________________