We/I hereby apply for the issue of a State Bank Foreign Travel Card (s) to us/me and declare that the information included in the application is true and correct and that We/I are/am a Resident Indian and that We/I are/am eligible to apply for an internationally valid card.
We/I accept that State Bank is entitled in its absolute discretion to accept or reject this application without assigning any reason whatsoever. It is our/my responsibility to obtain the terms and conditions applying to the State Bank Foreign Travel Card separately and read the same. If this application is accepted, We/I will be bound by the terms and conditions governing the State Bank Foreign Travel Card as may be in force from time to time and use of the card shall be deemed to be acceptance of those terms and conditions.
We/I authoriseState Bank and/or its associates to verify any information or otherwise at our/my office/residence or to contact me, my employer/Banker/Credit Bureau/RBI or any other source to obtain or provide any information that may be required for confirming membership requirements or maintaining our/my account in good standing.
We/I agree to an ongoing confirmation for use of my name, address, e-mail ID and mobile number for marketing/merchandising offers between State Bank and other companies. We/ I understand and acknowledge that local laws and Reserve Bank of India rules and regulations laid down and limits are applicable for the purchase and use of foreign exchange.
We/I undertake that the usage of the State Bank Foreign Travel Card by our representative/me will be in accordance with the Exchange Control Regulations of the Reserve Bank of India and the applicable laws in force from time to time, including Foreign Exchange Management Act. 1999. In the event of any failure, on our/my part, to do so or in the event of any information supplied by us/me being incorrect or inaccurate, We/I agree that We/I will be solely liable for any/all penalties and/or action under the local laws and/or regulations as may be in force, governing the purchase and use of the State Bank Foreign Travel Card.
Signature of / Primary Card member/ Applicant (capacity to be mentioned)/ Authorised Signatory
Place ______________________ Date __________________
Verified the documents and filed securely.
Signature of the authorized official ____________________________
2. VYFTC Ref. No.(11 digits on Welcome Pack)
3. Valid upto_____________.
4. VYFTC Card No.(16 Digits)______________________________
5. Add-On Card(s) No.(16 digits)___________________________
6. Add-On Card Ref No.(11 digits)
7. Issued the above Welcome Pack to the applicant/authorized signatory.
Signature of the authorized official_______________________ Date:______
Received the Welcome Pack mentioned above.
Signature of the Applicant/Authorised Signatories___________ Date:_________
For further details please call/visit the following numbers/sites:
VISA Card : +91-1800112211,18004253800 (Toll free helpline numbers if dialed from India) & 080-26599990( Paid service) or visit https://prepaid.onlinesbi.com.
MasterCard Card: +91-1800112211,18004253800 (Toll free helpline numbers if dialed from India) & 080-26599990( Paid service) or visit https://www.sbitravelcard.com
FORM - A 2
(For amount less than USD 5,000 or equivalent)
Application cum Declaration Form
(To be completed by the applicant)
Application for drawal of foreign exchange
I. Details of the applicant -
a. Name ____________________________
c. Account No. _____________________
II. Details of the foreign exchange required
1. Amount (Specify currency) ___________________
2. Purpose : Business Travel (0301)/Pilgrimage (0303)/Medical Treatment (0304)
Education (0305)/Tourism (0306) - (select any one purpose)
III. I authorise you to debit my Saving Bank/Current/RFC/EEFC Account No._________________ together with your charges and
Issue a Foreign Travel Card for _________________________
(Under FEMA 1999)
I, _________________________ declare that -
*1) The total amount of foreign exchange purchased from or remitted through, all sources in India during this calendar year including this application is within USD _____________(USD________________________________________________only), the annual limit prescribed by Reserve Bank of India for the said purpose.
*2) Foreign exchange purchased from you is for the purpose indicated above.
_ (Strike out whichever is not applicable)
For office use only
AD Code No. ________________________________
Form No. ___________________________________
Equivalent to Rs._______________
(To be filled in by Authorised Dealer)