Standard Chartered Bank

Please enter your details

Card Type^*

Enter the First & last 6 digits of Debit Card^*

Primary Debit Card Holder's Name ^*

(Name as per Bank records)

Registered Mobile Number^*

Registered Email id^*

PAN Number^*

SCB Account Number^*

I, (Primary Card holder) nominate the person named in my account as my lawful nominee who shall, in the event of my death, be entitled to the benefits of the insurance cover provided on my Standard Chartered Bank Debit ("SCB") Card.

I, (Primary Card holder) nominate the person named below as my lawful nominee who shall, in the event of my death, be entitled to the benefits of the insurance cover provided on my Standard Chartered Bank Debit ("SCB") Card.
I understand, accept and consent that the details submitted by me in this Webform shall be shared by SCB with the insurance company, providing insurance cover on my Debit Card, for the purpose of processing of any claim settlement by my nominee in relation to the insurance cover on my Debit Card.

PLEASE NOTE: ONLY ONE NOMINEE DETAILS TO BE PROVIDED

Nominee Name^*

Date of the Birth of the Nominee^*

Relationship with Primary Card holder^*

Name of Guardian(in case of minor)^*

Please input the One-Time Password sent to your SCB registered mobile number for acceptance of nomination details Debit Card*