change address form

1. CHANGE OF ADDRESS / CONTACT DETAILS FORM Channel Operations Centre Robinson Road P O Box 1282 Singapore 902532 INDIVIDUAL
YOUR PARTICULARS (Form is for 1 customer only, please submit a separate form for additional request)
Name (as in NRIC/Passport)
(Dr/Mr/Miss/Mrs/Mdm)
NRIC/Passport No.
Country of Residence1
Singapore Foreign (Please Specify)
Note 1: Country you are currently residing in or intend to reside in, for more than 1 year
YOUR NEW ADDRESS (Please attach proof of residential address. See Note7
overleaf)
Residential Address (For the above named customer only. Please do not provide P.O Box and C/O Address.)
Block/House No. Unit No. # – Postal/Zip Code
Street
City2
Country Singapore Foreign (Please Specify)
Mailing Address (To complete if different from residential address specified above)
Block/House No. Unit No. # – Postal/Zip Code
Street
City2
Country Singapore Foreign (Please Specify)
Note 2: City is only applicable for foreign address. Please note that UOB cheque books will not be mailed to overseas mailing address.
UPDATING YOUR ACCOUNT(S)3
Please shade 1 l
circle only
Please use my new address to update the address for ALL my/our Individual Single Name & Joint-Or account(s)
Please use my new address to update the address for ALL our Joint-and account(s)4
Please use my new address to update the address for my/our account(s) listed below:
Note 3: Account refers to all Deposit, Safe Deposit Box, Unit Trust, *CPF Investment, *SRS, Loan, Credit Card (principal card holder) and Debit Card account(s), For third party insurance policy(ies)
purchased through the Bank, please approach the third party insurer directly if you wish to change address for any of your policies.
* For investments made via your CPF Investment/SRS account, please inform your respective Fund Managers.
Note 4: For Joint-and account(s) and Loan account(s) in joint names, the signatures of all the joint account holders are required.
YOUR NEW CONTACT NUMBER(S) & EMAIL ADDRESS
Please indicate only 1 Contact Number/Email for each type.
Home No. +
- -
Mobile No.5
+ - -
Office No. + - -
Email Address
Note 5: If you have updated your mobile phone number, we will use the new mobile phone number provided above to send you SMS-OTP for UOB Personal Internet Banking and UOB Mobile Service, Unialerts
and other transaction alert notifications. If the new mobile phone number provided above is different from that registered with UOB for your PayNow, your PayNow will be automatically deregistered.
AUTHORISATION & AGREEMENT
I/We agree that the Bank may verify my/our signature(s) below against the same in the Bank’s records and may effect the change of address/contact details for my/our accounts as stated above even though
the signature(s) on record for one account may differ from that/those on record for another account.
Account Holder 1 /
Authorised Person Signature6
Account Holder 2 /
Authorised Person Signature6
Account Holder 3 /
Authorised Person Signature6
Account Holder 4 /
Authorised Person Signature6
Date
Name Name Name Name
NRIC/Passport No. NRIC/Passport No. NRIC/Passport No. NRIC/Passport No.
Note 6: Thumbprints (if any) must be affixed in the presence of a bank officer. Please bring your NRIC/Passport for identification purposes.
Please do not sign this form if it is blank or incomplete.
FOR BANK USE ONLY
Attended By Signature(s) Verified By (For Thumbprint, Witnessed By)
Name Name
LAN ID LAN ID
Signature Staff ID Signature Staff ID
United Overseas Bank Limited Co. Reg. No. 193500026Z
(Country Code) (Area Code) (Home No.)
(Country Code) (Area Code) (Mobile No.)
(Country Code) (Area Code) (Office No.)
BR-217(R10.17)
oc.kr.aw
COAPERSG003

2. Submission Checklist
Have you:
ü Filled in all applicable fields?
ü Signed against any alterations?
ü Signed in the “Authorisation & Agreement” section?
ü Attach copies of required documents below?
Types of changes Documents required
Note 7
Change in Residential Address Copy of Singapore NRIC
(Front and Back)
or
Copy of either one of the documents below for proof of residence (within last 6 months):-
• Utility Bill,
• Telephone Bill,
• Tax Assessment,
• A non UOB bank statement,
• Rental agreement,
Mail in together with
the completed form