Address Change Form (To be filled by Primary applicant Only)
First Name | Middle Name | Last Name
*Name
*Account number
*Customer ID
*E-mail
In case your email id is not updated in our records, do you want us to update this email id?
Yes
No
Communication address
Permanent address
Line 1
Line 1
Line 2
Line 2
Line 3
Line 3
City
City
Country
Country
Pin Code
Pin Code
Tel no.
with country and area codes
Tel no.
with country and area codes
Mobile Number
Mobile Number
Has your passport submitted at the time of Account opening expired / New passport has been issued to you after you got your account opened?
Yes
No
If yes, we request you to attach the old and new passport copy.
Note -
1. First and last pages of passport indicating name and address of primary applicant.
2. Name on Passport should be the same as on account.
Has your country of residence changed?
Yes
No
If yes, please submit a copy of your valid passport and visa along with the address change application and address proof.
Note
1. First and last pages of passport indicating name and address of primary applicant.
2. Name on Passport should be same as on account.
Please note that Address Change is not possible in a Dormant accounts.
If your account status is dormant/inactive, select the account activation option below
Activate all my accounts in the Customer ID,in case they are Dormant/Inactive?
No
Yes / Please activate all the existing accounts in my Customer ID
Signature of Primary Applicant:
In case your signature differs from the signature in our Bank records, we request you to submit any one of the following documents so that your new signatures can be updated in our records-
Any government issued photo identity document(Driving license,Residence Card etc.) having a seal/ stamp of Government authority as a proof of current signature.The signature on the Address Change form should match the signature on the government issued document.
Declaration Attested by a Banker or Indian Embassy or Notary . The Banker/Embassy /Notary can mention verified with records” / “signed in my presence” / “signature verified” or equivalent. Declaration is as follows- “I hold an NRI bank account with ICICI Bank, (name of the city, ) branch and am unable to replicate my old signatures. Kindly attest my signatures.”
If self-attested copy of the passport is notarized the same can be accepted as proof of new signature.
Blood Relative Declaration Form
(To be filled by Primary applicant Only when Address Proof is in Blood Relatives name)
First Name | Middle Name | Last Name
*Name of the Primary Applicant
*Account number:
*Customer ID:
*E-mail:
In case your email id is not updated in our records, do you want us to update this email id?
Yes
No
Declaration by Primary Applicant
I declare that the address proof document for my current/permanent address as mentioned in the address change form is in the name of my blood relative (select as applicable)
Spouse
Father
Mother
Son
Daughter
Brother
Sister
(Address proof of relatives other than the above are not permitted)
I enclose the photocopy of the following proof of relationship :
Passport
Birth certificate
Marriage certificate
Ration card
Matriculation certificate
Court affidavit
School leaving certificate
Driving License
Life Insurance Policy
PAN Card
(Please note that you may provide more than one document to establish relationship. Other proof of relationships will not be accepted.)
I,
(Primary Applicant), affirm that:
My current/permanent address is as mentioned in the account opening form.
The information given above is correct and I have not concealed anything. I am aware it is illegal and a criminal offence to deliberately furnish false information or to suppress information.
I undertake to be entirely responsible for any loss/expenses incurred by the Bank because of relying on my declaration.
Signature of Primary Applicant:
Declaration by the Blood Relative
I, the address proof holder, affirm that:
I have no objection to allow the primary applicant to use my address for bank communication.
The primary applicant resides with me at my residential address for which I have provided a valid proof as the bank requires.
The information given above is correct and I have not concealed anything. I am aware it is illegal and a criminal offence to deliberately furnish false information or to suppress information.
To track the status of your application Click here
All these documents should be sent to:
NRI Services Center (CPC NRI), ICICI Bank Ltd.,Trade World, B-Wing, 2nd Floor,
Kamala Mills Compound, Lower Parel,
Mumbai - 400 013, India
