Passport No. *
* You acknowledge that information received via internet may be accessible/ viewed by third parties.
Therefore, for security reasons, your Credit Card number, address details, and last name will not be
stated in your e-mail statement.
Credit Shield Plus is an optional benefit and is not required to obtain or maintain the credit card. It is designed for customers wishing to obtain insurance cover for the outstanding balances on their Credit Card Account.
Credit Shield Plus is a form of insurance, which provides payment protection for outstanding Credit Card Account balances (in the event of Total and Permanent Disability, Critical Illness or Death) or Minimum Monthly Payments (in the event of Temporary Disability).
Customers availing of Credit Shield Plus are charged a monthly premium of 69 fils for every AED 100 of the total debit balance outstanding on the Credit Card account for this benefit (subject to change from time to time). A full refund of the first month's premium will be credited to the card account on cancellation of the Credit Shield Plus Insurance coverage by giving notice in writing or by telephone to Citibank within 30 days from the date of written confirmation of coverage.
¹Defined terms used in this form, unless defined herein, are defined in the Terms and Conditions