Citi Cards Non Perm Res Al Cre Card App

NPRA 1110
November 2010 NPRA Citi ThankYou Application
T:8.5”
Instructions for Citibank Representative

The NPRA application is specifically designed to meet the needs of Non-Permanent Resident Alien customers. The underlying
product is a Citi ThankYouSM Card. This is the regular credit card that does not require the security of a CD.
o 1. Print the following pages including the application for the Citibank customer. If necessary, assist
customer in completing all fields of application to avoid delays in opening account.
o 2. Applicant must submit a photocopy of an identification verification document. A copy of ONE of the
following must be provided with the application:
• U.S. Social Security Number
• U.S. Taxpayer Identification Number (TIN)
• Passport
• National ID Card
• Other valid, government-issued ID (example: U.S. Driver’s License)
o 3. Attach an “Employment Verification Letter” from the applicant’s employer. (See sample on page 4.)
Applicant must provide an original dated letter, in English, on company letterhead, signed by Human
Resources/Personnel or Owner/President of the company, stating the following:
• Employer name
• Applicant name
• Established home address and phone number
• Title/position
• Date of employment
• Salary
If self-employed, customer must provide an income statement from an accountant or tax return.
o 4.

In order for the customer to be approved for the Citi ThankYou Card, customer must meet one of the
following Banking Reference criteria:
• U.S. or non-U.S. Citibank or other U.S. personal bank account for at least 3 months with a current deposit
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balance of $1,000 or average balance of $1,000 for the past 3 months. Confirm this for the customer by
submitting screen prints with the application that show account number, date opened, current account
balance and average balance for past 3 months.
OR
• Other non-U.S. personal bank account that has been open for at least 6 months with a current deposit
balance of $2,000. The customer must attach to the application a letter from the bank (on bank’s
letterhead) that includes the following information (in English with financial information converted to
U.S. dollars): bank name/address, bank telephone number, account number, date opened, current account
balance and average balance for past 6 months. If a banking letter is not obtainable, the customer must
provide banking statements (in English with financial information converted to U.S. dollars) for the
past 6 months that show that he/she has maintained an average deposit balance of $2,000. A Citibank
Representative must convert this letter to English if necessary as long as the original is supplied.
o 5. The customer will return the completed application with all required information to you. At this point, verify
that the application has been accurately completed, and verify customer’s address and banking information.
Please be sure that all sections are completed, including the Income and Outstanding Loans section.
Sign and stamp this checklist. Once completed, immediately submit the application with all the required
materials and this checklist via UPS overnight delivery to:
Citibank (South Dakota), N.A.
ATTN: Credit Evaluation
701 E. 60th St. N, MC 3234
Sioux Falls, SD 57117
APPLICATIONS ARE TO BE SUBMITTED BY A CITIBANK REPRESENTATIVE ONLY AFTER ALL INFORMATION HAS BEEN
SUPPLIED AND REVIEWED. Applications should only be taken and submitted for applicants who are
residents of the U.S. and have established U.S. residence.
I certify that I have reviewed the application, provided Citibank Account Information, ensured that this applicant is
a current Citibank customer, and that I have completed the FOR INTERNAL USE ONLY section on the application.
___________________________________________________________________ _______________________________
Citibank REPresentative SIGNATURE/STAMP DATE
___________________________________________________________________
Citibank REPresentative phone number
NPRA 1110
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0J63186_CTK_a8.3.indd Page: 1 of 8 11-19-10 10:33:00 AM Description: November 2010 NPRA ThankYou Card Application
Client: Citibank - Impact Job #: CTK-TYC-D01000 Product: TYC Studio Artist: griffithsg Print Scale: None InDesign Version: CS3
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Link Name: C iti®_2C-288_485.eps
Ink Name: Black, PMS 288 C, PMS 485 C
NPRA 1110
T:8.5”
Apply for the

Citi ThankYou Card. SM
Because you’re already a Citibank customer, it is easy

for you to become a Citi cardmember.
Enjoy all the benefits of the Citi ThankYouSM Card.

• 0% intro APR on purchases and balance transfers for
12 months. After that, the APR on purchases and balance
transfers will be 12.99%2
• 10,000 bonus ThankYou® Points with $600 spent in
3 months, good for a $100 gift card
• 2 points for every $1 spent during your first 12 months.
After that, earn 1 point per $11
• Earn an anniversary bonus up to 3% each year after
2 years as a cardmember
• Earn additional points when you shop through the
Citi® ThankYouSM Card ThankYou Bonus Center, a network of 400+ retailers
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you know and love
• No points cap
• No expiration on points earned as long as you make a
purchase once every 12 months
• No annual fee2
Plus, receive benefits reserved especially for Citibank customers.
• Link your Citi Card to your eligible Citibank account package3
• Access your Citi Card account information and pay your monthly credit card balance at Citibank ATMs,
CitiPhone Banking® and Citibank® Online
• Plus, your Citi Card balance may count toward your minimum balance requirement, so you may be
able to eliminate monthly maintenance fees on certain Citibank checking accounts 3
• Great discounts and deals. At Citi® Specials, save money and get great discounts on shopping, travel
and more. Visit www.specials.citi.com
1
Bonus points can only be earned by new Citi ThankYou cardmembers approved through this offer. In order to receive
the bonus ThankYou Points, you must make at least $600 in purchases that are not returned within the first 3 months of
account opening. All points become available for redemption when they are transferred from your Card Account to your
ThankYou Member Account, which may take 1 to 2 billing cycles. See Citi® ThankYou® Rewards, Citi ThankYou Card Terms
and Conditions below for more information.
2
See inside for Citi Disclosures, which include rates, fees and other cost information.
See your Citibank Client Manual and Marketplace Addendum for details on eligible checking account packages, which are
3
maintained by Citibank, N.A., Member FDIC. Credit cards issued by Citibank (South Dakota), N.A.
©2010 Citibank (South Dakota), N.A. www.citicards.com
Citi, Citibank, Citi with Arc Design and ThankYou are registered service marks of Citigroup Inc.
Citi ThankYou and Citi ThankYou Rewards Design are service marks of Citigroup Inc.
MasterCard® is a registered trademark of MasterCard International Incorporated.
NPRA 1110
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Link Name: 9 H57541_CTK_a1_2.tif, C_ThankYou_MNLW_13 PID 83.eps, Citi®_2C-288_485.eps
Ink Name: Cyan, Magenta, Yellow, Black, PMS 288 C, PMS 485 C
NPRA 1110
T:8.5”
How to apply for a Citi ThankYou Card SM
o 1. Print the following pages, including the application, for the Citibank customer. If necessary, assist
customer in completing all fields of application to avoid delays in opening account.
o 2. Applicant must submit a photocopy of an identification verification document. A copy of ONE of the
following must be provided with the application:
• U.S. Social Security Number
• U.S. Taxpayer Identification Number (TIN)
• Passport
• National ID Card
• Other valid, government-issued ID (example: U.S. Driver’s License)
o 3. Attach an “Employment Verification Letter” from the applicant’s employer. (See sample on page 4.)
Applicant must provide an original dated letter, in English, on company letterhead signed by Human
Resources/Personnel or Owner/President of the company, stating the following:
• Employer name
• Applicant name
• Established home address and phone number
• Title/position
• Date of employment
• Salary
If self-employed, customer must provide an income statement from an accountant or tax return.
o 4. In order for the customer to be approved for the Citi Card, customer must meet one of the following Banking
Reference criteria:
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•U .S. or non-U.S. Citibank or other U.S. personal bank account for at least 3 months with a current deposit
balance of $1,000 or average balance of $1,000 for the past 3 months. Confirm this for the customer by
submitting screen prints with the application that show account number, date opened, current account
balance and average balance for past 3 months.
OR
•O ther non-U.S. personal bank account that has been open for at least 6 months with a current deposit
balance of $2,000. The customer must attach to the application a letter from the bank (on bank’s
letterhead) that includes the following information (in English with financial information converted to
U.S. dollars): bank name/address, bank telephone number, account number, date opened, current account
balance and average balance for past 6 months. If a banking letter is not obtainable, the customer must
provide banking statements (in English with financial information converted to U.S. dollars) for the
past 6 months that show that he/she has maintained an average deposit balance of $2,000. A Citibank
Representative must convert this letter to English if necessary as long as the original is supplied.
o 5. The customer will return the completed application with all required information to you. At this point, verify
that the application has been accurately completed, and verify customer’s address and banking information.
Please be sure that all sections are completed, including the Income and Outstanding Loans section.
Sign and stamp this checklist. Once completed, immediately submit the application with all the required
materials and this checklist via UPS overnight delivery to:
Citibank (South Dakota), N.A.
ATTN: Credit Evaluation
701 E. 60th St. N, MC 3234
Sioux Falls, SD 57117
APPLICATIONS ARE TO BE SUBMITTED BY A CITIBANK REPRESENTATIVE ONLY AFTER ALL INFORMATION HAS BEEN
SUPPLIED AND REVIEWED. Applications should only be taken and submitted for applicants who are
residents of the U.S. and have established U.S. residence.
NPRA 1110
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NPRA 1110
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SAMPLE EMPLOYMENT VERIFICATION LETTER

PLEASE SUBMIT DATED ORIGINAL
ON COMPANY LETTERHEAD
Citibank NPRA Services

123 Sample Road
Anywhere, USA 12345
ATTN: Citibank Representative
The following individual has been hired by (name of company) to work in the United States.
This letter certifies the following information on our employee:
Employee’s name: ________________________________________________________
Title/Position: ________________________________________________________
Date of employment: ________________________________________________________
Salary and other compensation Salary__________________________________________________

(Breakdown): _______________
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Other Income ______________ Source______________________
Length of contract with company: ________________________________________________________
Employee’s address and telephone

number per company files: ________________________________________________________
Anticipated duration of U.S. assignment: ________________________________________________________
The employee is in good standing: o Yes o No
Signature: ______________________________________________________________________________________
Name and Title (HR/Personnel or Owner/President of Company): _____________________________________
Telephone Number: _________________________
Date: ______________________________________
NPRA 1110
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NPRA 1110
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SAMPLE BANKING REFERENCE LETTER

PLEASE SUBMIT DATED ORIGINAL
ON BANK LETTERHEAD
Citibank
Address (Location of Branch)
City, State ZIP
The following individual has established a personal account that is currently open and
has been open for at least six (6) months.
This letter certifies the following information for our bank customer:
Personal Bank Account Number: ________________________________________________________
Date Opened: ________________________________________________________
Current Account Balance (in U.S. Dollars): ________________________________________________________
Average Account Balance for Past Six

(6) Months (in U.S. Dollars): ________________________________________________________
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Bank Name: ________________________________________________________
Bank Address: ________________________________________________________
Bank Telephone Number: ________________________________________________________
Signature:_ _____________________________________________________________________________________
Name and Title (Bank Representative): _______________________________________
Telephone Number: _________________________
Date: ______________________________________
NPRA 1110
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NPRA 1110
T:8.5”
Citi Application Form

Please see attached Citi Disclosures, which include rates, fees and other cost information.
Please print clearly in blue or black ink. Apply now.

Please tell us about yourself
Print youR full name as you wish it to appear on the card: First, Middle, Last OWN HOME RENT OTHER
nnnnnnnnnnnnnnnnnnnnnnnn
Harish Krishna Yanamala
Your Home Address NuMber and Street (No p.o. boxes) Apt. No. address
years at
current
X X
social security number
X
nnnnnnnnnnnnnnnnnnnn
1550 Worcester Road nnn
228 nn
02 nnn-nn-nnnn
M M- D D - Y Y Y Y
city or town state zip code date of birth
nnnnnnnnnnnnnnnnnn
Framingham nn
MA nnnnn
01702
Your Temporary Address NuMber and Street (No p.o. boxes) Temporary Apt. No. DURATion
nnnnnnnnnnnnnnnnnnnn nnn nn
Temporary city or town state zip code
SECURITY PASSWORD
10 characters or less. Use letters or numbers; Please use
one: Best friend’s last name; Last 4 digits of a relative’s or
friend’s phone number; Pet’s name; Favorite teacher’s name.
nnnnnnnnnnnnnnnnnn nn nnnnn nnnnnnnnnn

(nnn)-nnn-nnnn
name phone is listed under home area code AND phone number
previous Home Address NuMber and Street (No p.o. boxes) Apt. No.
years at
previous
address
nnnnnnnnnnnnnnnnnnnn nnn nn
city or town state zip code
nnnnnnnnnnnnnnnnnn nn nnnnn
Please Tell Us about your job Embassy Applicants
Occupation/position check here if APPLICABLE: Please check this box if applying via the Embassy Program.
length of time with present employer business area code and phone number
X retired
X
nn (nnn)-nnn-nnnn
years X Self-employed
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about your income and outstanding loans
Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.
Applicants under 21, please provide personal annual income.
Total annual household income Do you have any
(In U.S. Dollars) outstanding loans?
$ $$$ 000 , X Yes X No
existing accounts
Money Market/Investment Accounts: Checking Account: Savings Account/CDs/Treasury Bills:
nnnnnn nnnnnn nnnnnn

Please check those that apply.
Be sure to specify Institution/
Bank Name. X Citibank X Other X Citibank X Other X Citibank X Other
for free additional cards
If you would like an additional card at no extra All benefits earned will
charge, please print the full name of family or be posted to the primary
household member: First, Middle, Last cardmember’s account.
Email address
Include full address with punctuation. Example: jdoe@citi.net. If you provide an email address, we may use it to contact you about your account.
We may also use your email address to send you information about products and services you might find useful.
nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
Please Sign this authorization
By signing below, I certify that I have read the Citi Disclosures and agree to and meet the Terms and Conditions of Offer.
x nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
Applicant’s SignaTure Date
FOR INTERNAL USE ONLY
nnnnnnnnnn nn nn nnn
GEID state
1
FIMP branch company code Citi Credit Cards are issued by Citibank (South Dakota), N.A.
L2MNR220YBREZZZZZZZ PATCQT NPRA 517073

NPRA 1110
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NPRA 1110
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CITI DISCLOSURES
Interest Rates and Interest Charges
Annual Percentage Rate 0% introductory APR for 12 months from date of account opening.
(APR) for Purchases
After that, your APR will be 12.99%. This APR will vary with the market
based on the Prime Rate.
APR for Balance 0% introductory APR for 12 months from date of account opening.
Transfers
After that, your APR will be 12.99%. This APR will vary with the market based
on the Prime Rate.
APR for Cash Advances 25.24%
This APR will vary with the market based on the Prime Rate.
Penalty APR and Up to 29.99%, based on your creditworthiness. This APR will vary with the market
When it Applies based on the Prime Rate.
This APR may be applied to your account if you:
(1) Make a late payment or
(2) Make a payment that is returned.
How Long Will the Penalty APR Apply? If your APRs are increased for either
of these reasons, the Penalty APR will no longer apply to existing balances on
your account if you make the next six consecutive minimum payments when due.
However, the Penalty APR may apply to new transactions indefinitely.
Paying Interest Your due date is at least 23 days after the close of each billing cycle. We will not
charge you any interest on purchases if you pay your entire balance by the due
date each month. We will begin charging interest on cash advances and balance
transfers on the transaction date.
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Minimum Interest Charge If you are charged interest, the charge will be no less than 50 cents.
For Credit Card Tips from To learn more about factors to consider when applying for or using a credit card, visit the
the Federal Reserve Board website of the Federal Reserve Board at http://www.federalreserve.gov/creditcard.
Fees
Annual Fee None
Transaction Fees
n
Balance Transfer Either $5 or 3% of the amount of each transfer, whichever is greater.
n
Cash Advance Either $10 or 5% of the amount of each cash advance, whichever is greater.
n
Foreign Purchase 3% of each purchase transaction in U.S. dollars.
Transaction
Penalty Fees
n
Late Payment Up to $35.
n
Returned Payment Up to $35.
How We Will Calculate Your Balance: We use a method called “daily balance (including current transactions).”
See Additional Disclosures for more details.
Loss of Introductory APR: We may end your introductory APR and apply the Penalty APR if you make a late payment.
NPRA 1110
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NPRA 1110
T:8.5”
terms and conditions of offer

• This offer is only valid for new accounts. You must be at least 18 years of age. If for credit, renewal of credit, and future extensions of credit. In the future we may
you are married, you may apply for a separate account. Citibank (South Dakota), provide you with promotional offers that include balance transfer opportunities. If
N.A. (“we” or “us”) is the issuer of your account. you ask us, we will tell you whether or not we requested a credit bureau report and
• Federal law requires us to obtain, verify, and record information that identifies the names and addresses of any credit bureaus that provided us with such reports.
each person who opens an account, in order to help the government fight the • To receive a Citi® ThankYouSM Card, you must meet our applicable criteria
funding of terrorism and money laundering activities. To process the application, bearing on creditworthiness for the Citi® ThankYouSM Card. Your credit limit
we must have your name, street address, date of birth, and other identifying will be determined by your yearly income or assets, and a review of your credit
information, and we may ask for identifying documents from you as well. report. You will be informed of the amount of your credit limit when you receive
• Please allow four weeks from date of submission to process a completed your card. If you’re applying for a MasterCard® or Visa® card, some limits may
application. be as low as $500. If you’re applying for an American Express card, some limits
• We may gather information about you, including from your employer, your bank, may be as low as $1,000. Please note that cash advances may be limited to a
credit bureaus, and others, to verify your identity and determine your eligibility portion of your credit limit.
BALANCE TRANSFER instructions

Just follow these simple steps to start saving money by transferring balances from your high-interest credit cards.
1. After receiving your card, you may call our customer service number to transfer 3. Continue to pay the other credit card issuer until we notify you in writing that
your high-rate balances. we have approved the balance transfer. When we do, we pay the amount of the
2. You may transfer any amount, but the total amount of your balance transfers balance transfer directly to that issuer.
and balance transfer fees must be less than your available credit limit. You
should not transfer the amount of any disputed purchase or other charge. If you 4. Keep your account in good standing. If you default under your card agreement,
do, you may lose your dispute rights. You may not transfer balances from other you may lose any promotional APR on the balance transfer. We may not approve
accounts issued by Citibank (South Dakota), N.A. or its affiliates. future balance transfers either.
citi® thankyou® Rewards

citi ThankYouSM card terms and conditions
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• Citi® ThankYou® Rewards is offered to certain cardmembers (“you”) at the from purchases during that membership year as follows (Your membership year
sole discretion of Citibank (South Dakota), N.A. (“we”), the issuer of your begins the date you become a Citi ThankYou cardmember and resets each year on
card account (“Card Account”). ThankYou Rewards or any portion thereof that date.):
may be revised or terminated with 30 days prior written notice. Any revisions
may affect your ability to use the ThankYou Points you have already Membership Year Anniversary Bonus %
accumulated. If ThankYou Rewards is terminated, you will only have 90 days 0–1 1%
from ThankYou Rewards termination date to redeem all your accumulated 1–2 2%
ThankYou Points (“ThankYou Points”). Rewards offered by ThankYou Rewards 2– and after 3%
and the ThankYou Point levels required for specific rewards are subject to Note the Anniversary Bonus calculation does not include any other points you may
change without notice. have earned during that membership year. It may take 1-3 billing statements for the
• Unless you are participating in a limited-time offer, you will earn one ThankYou Anniversary Bonus to post to your Card Account at the end of each membership year.
Point for every dollar you spend on purchases. Only purchases are eligible to • If you are approved for a Card Account, a ThankYou Rewards Member Account
earn ThankYou Points. ThankYou Points will not expire as long as you have (“ThankYou Member Account”) will be set up for you. ThankYou Points post to your Card
qualifying purchase activity at least once every 12 months unless we terminate Account at the close of each billing cycle, and at that time we will transfer the ThankYou
ThankYou Rewards. You may only earn ThankYou Points on your Card Account Points you earned to your ThankYou Member Account. ThankYou Points are not eligible
as long as it is open and current. for redemption until they are transferred to your ThankYou Member Account.
• At the end of each Citi ThankYou Card account membership year you will also ThankYou Points may not be redeemed and may be lost if your Card Account is not
earn an Anniversary Bonus calculated as a percentage of ThankYou Points earned open or current.
©2010 Citibank (South Dakota), N.A. www.citicards.com

Citi, Citibank, Citi with Arc Design and ThankYou are registered service marks of Citigroup Inc.
Citi ThankYou and Citi ThankYou Rewards Design are service marks of Citigroup Inc.
MasterCard® is a registered trademark of MasterCard International Incorporated.
NPRA 1110
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NPRA 1110

November 2010 NPRA Citi ThankYou Application

Instructions for Citibank Representative

Apply for the

Because you’re already a Citibank customer, it is easy

Enjoy all the benefits of the Citi ThankYouSM Card.

Font Family: Interstate (Bold, Regular, Light, Black)

How to apply for a Citi ThankYou Card SM

SAMPLE EMPLOYMENT VERIFICATION LETTER

Citibank NPRA Services

ATTN: Citibank Representative

Employee’s name: ________________________________________________________

Date of employment: ________________________________________________________

Salary and other compensation Salary__________________________________________________

Length of contract with company: ________________________________________________________

Employee’s address and telephone

Anticipated duration of U.S. assignment: ________________________________________________________

The employee is in good standing: o Yes o No

Name and Title (HR/Personnel or Owner/President of Company): _____________________________________

Telephone Number: _________________________

SAMPLE BANKING REFERENCE LETTER

Personal Bank Account Number: ________________________________________________________

Date Opened: ________________________________________________________

Current Account Balance (in U.S. Dollars): ________________________________________________________

Average Account Balance for Past Six

Bank Address: ________________________________________________________

Bank Telephone Number: ________________________________________________________

Name and Title (Bank Representative): _______________________________________

Telephone Number: _________________________

Font Family: Interstate (Bold, Black, Light, Regular)

Citi Application Form

Please print clearly in blue or black ink. Apply now.

nnnnnnnnnnnnnnnnnn nn nnnnn nnnnnnnnnn

$ $$$ 000 , X Yes X No

nnnnnn nnnnnn nnnnnn

for free additional cards

FOR INTERNAL USE ONLY

L2MNR220YBREZZZZZZZ PATCQT NPRA 517073

terms and conditions of offer

BALANCE TRANSFER instructions

citi® thankyou® Rewards

©2010 Citibank (South Dakota), N.A. www.citicards.com

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