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personal details

Title

First Name

Last Name

Date of Birth (dd-mm-yyyy)

Gender

PAN number

Mother’s Name

Mobile Number

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Personal Email ID

Nationality

Credit Card Type

Residence Address

Address – Line 1

Address – Line 2

Address – Line 3

City

Residence/Mobile Number

Residence PIN code

Residence STD code

occupation details

Occupation Type

Company Name

Designation

Annual Net Income

Office Email ID

Office City

Office PIN code

Office STD code

I have read Customer Declaration of Tata card and understood all the Terms and Conditions. I confirm that details given above belong to me and authorize SBICPSL and its affiliates or associates to contact me on the details provided.

personal details

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occupation details

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