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.

RuPay cards are available for immediate issuance at our branches and extension offices. If you're in Bhutan, we recommend visiting our nearest locations for a faster application and collection process.

Type of Debit Card :

Request For :

I will collect the card from:

Name on Card : Name on the card, limited to 20 characters.

Account Type :

Your Account Number : Enter your BNB account number correctly.

Your Full Name :

Your CID Number:

Nationality:

Your Mobile Number:

Your Email ID:

Your Date of Birth:

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

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

Indemnity

I hereby declare that the information and the documents attached above is true and correct and would like to request the Bank to update my above details in your system. I also hereby authorize the Bank to deduct any applicable charges related to the issuance of this card from my account number:

I Agree

I Disagree

Bhutan National Bank Debit Card Application Form

Indemnity

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