Declaration / Debit Card Undertaking

I/We confirm that I/we are sole accountholder(s) or have the required mandate to operate all the account(s) linked to the Debit Card(s) singly.

I/We understand that upon issue of a Debit Card to me/us, the existing ATM Card(s) linked to my/our account(s) will be deactivated. I/We authorise HSBC to debit my/our Primary Account annually with an amount equivalent to the fees and charges for use of the Debit Card.

I/We authorise HSBC to debit my/our Primary Account annually with an amount equivalent to the fees and charges for use of the Debit Card.

I/We confirm that the information given by me/us on this form is true and correct.

I/We will be bound by the terms and conditions of usage of the Debit Card, as laid down in the Cardholder Agreement and the usage of the Debit Card by me/us will be deemed to be automatic acceptance of the said terms and conditions.

I/We will be liable to comply with the rules of the Foreign Exchange Management Act 1999, and the amendments thereof as stipulated by the Reserve Bank of India.

I/We undertake to intimate the Bank and surrender my/our card before proceeding overseas on permanent employment and/or emigrating and/or changing my/our nationality.