Virtual dollar card request form

Full Name *

Account Number *

Email Address *

Mobile Number *

Address *

Citizenship No *

PAN No *

Top-up Amount (USD) * *The top-up amount for Virtual Dollar Card is upto USD $100

Debit Account No *

Self-Declaration Letter *

PAN Card *

* Allowed file type docx|pdf|png|jpg and max file size is 2 MB

I declare that the information in this form is correct and true. I hereby agree that NMB Bank Ltd. is entitled to accept or reject my application without proving any reasons whatsoever.

I hereby declare that I have read, understood and accept all the terms and conditions set forth for the use of NMB Bank Ltd.'s International (USD) pre-paid card.

Click here to see terms and conditions

Download Self Declaration Form