Bhutan National Bank Debit Card Application Form

I would like to request BNB to kindly issue me a new ATM/Debit Card against my following account number maintained with your bank.

The request shall be processed only after validating your request, by verifying in our systems the combination of your name, account number, mobile number, ID number and email ID. If required, you may be contacted to validate the request.

Name to be printed on the card. Maximum of 20 characters.
Please enter your BNB account number correctly here.
Required if you are requesting for replacement.
Your present address, gewog and dzongkhag.