Nominee Details Webform
Customer Name
*
Select
Mr
Ms
Dr
(Mr/Ms/Dr) (Primary Card Holder's Name as per Bank records)
Please select Initial
Please enter Customer Name
Customer Name should contain minimum two characters and only alphabets,
dot, apostrophe
Registered Mobile Number
*
Please enter Mobile Number
Please enter valid Mobile Number
Registered Email id
*
Please enter Email id
Please enter valid Email id.
Card Type
*
Select
Infinia
Regalia
Diners Club
Regalia First
TATA Neu Infinity
Corporate / Commercial
Regalia Gold
Please select Card Type
I, (primary card holder) nominate the following person (details provided hereunder) to whom, in the event of my death under the circumstances as covered in the T&C of the complimentary insurance policy on my HDFC Bank Credit Card, the insurance claim amount payable may be handed over.
Please select
PLEASE NOTE
: ONLY ONE NOMINEE DETAILS TO BE PROVIDED
Nomination Details
Nominee Name
*
Select
Mr
Ms
Dr
(Mr/Ms/Dr)
Please select Initial.
Please enter Nominee Name
Nominee Name should contain minimum two characters and only alphabets,
dot, apostrophe
Date of Birth of Nominee
*
Please select your Date of Birth
Relationship with primary
card holder
*
Please specify your Relationship
Relation should contain minimum two characters and only alphabets
Name of Guardian
(in case of minor)
*
Select
Mr
Ms
Dr
(Mr/Ms/Dr)
Guardian Name should contain minimum two characters and only alphabets,
dot, apostrophe
Key Terms And Condition
A SMS alert would be sent to the registered mobile number confirming the update of the nomination details
In case of receipt of multiple nomination detail, the latest request would be considered and will override existing nomination details, if any.
Only ONE nominee details to be provided, In case of multiple names, the application will not get processed.
In case the nominee is a Minor, the name of a Legal Guardian is mandatory
Please enter Captcha Code