Bhutan National Bank Limited

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.

Type of Debit Card :

Request For :

I will collect the card from:

Name on Card : Name to be printed on the card. Maximum of 20 characters.

Your Account Number : Please enter your BNB account number correctly here.

Account Type :

Reason for Replacement: Required if you are requesting for replacement.

Your Full Name :

Your CID Number:

Nationality:

Your Mobile Number:

Your Email ID:

Your Date of Birth:

Your Present Address: Your present address, gewog and dzongkhag.

Bhutan National Bank Debit Card Application Form

Indemnity

Your Relationship Bank