Who are you?

First name      Middle name   Last name
Name as you would like it on the card (max 19 char)   
Mobile
Do you have a PAN / GIR No. ? If Yes, PAN No.
If No, please fill the Form 60/61.  In case of Form 60/61, one of the following must be submitted along with it:  Ration Card  Passport  Driving License  Identity Card issued by any institution  Copy of the electricity bill or telephone bill showing residential address  Latest municipal tax/water tax bill  Last 3 months credit card statement with another bank
Sex Male      Female     Date of Birth
Marital Status Married Single     No of dependents
How long were
you preached?
Others (please specify):
        
Resident Indian

If foreign national (compulsory) 		Nationality  Passport No.
Date of issue   Place of issue
Visa expiry   
 
Keep me updated with the special offers and services launched by Manhattan through
Landline phone Mobile voice call SMS
EMail Direct Mailers  

Where do you live?

Your present residential address
City    PIN    STD code    Tel no.
Landmark near your residence
You have lived in this address for the past         years      months
Your present residence is:
Owned             Rented < 10 yrs Rented > 10 yrs Co-provided
Govt. Quarters Parental           PG Accomodation Hostel/Lodge
Leased             Others(please specify):
Your permanent residential address
City
Which vehicle do you own?
Four-wheeler                        Two-wheeler                      None      
Vehicle make                         Regn. No.
Refer the name of a relative / friend in your city (who does not stay with you).
Name    Tel   Mobile 

Where do you slog?

Present Office Name             Department / Project Name
Office address
City    PIN    Direct No    Fax.
Board No.            Ext No.          Office e-mail ID
Designation            Total no. of years in employment
Your place in the food chain     
Where do we send important stuff?   My residence address        My office address
 What would you call yourself?          Salaried                               Self-employed
If salaried / self-employed your area of work can be classified as:
                          Others (specify)
If salaried, you work in                                        

If salaried, your department is
                         Others (specify)
If self-employed, you are
                         Others (specify)
Annual turnover Capital investment No. of employees

Special features

Email  
New feature from Manhattan:
Register me for Manhattan's new E-statement facility and send my Manhattan Statement through email only (at the above-mentioned email id), till I ask for a hard copy one. Yup Nope

Money matters

Annual income Other income Sources of other income
Spouse's Name              Company
Spouse's Annual income                   City       
Your Bank name                Branch  
Nature of a/c: Savings a/c                 Current a/c                 Others
No. of yrs                                            A/c No  
Carrying any other card? (mandatory for holders of other cards)
Card No.                                             Credit limit
Expiry date  
Existing relationship with Standard Chartered Bank
Nature of relationship:                   Others (specify)
Bank a/c No.                                    Card No.  
Loan a/c No .                                     Relationship since (yyyy)

Supplementary Card details

Spouse Father Mother Son Daughter Brother Sister
What Is His/Her Identity: Resident Indian
Sex Male Female                                       Date of Birth
Supplementary card applicant name as would appear on the card:
Click here to read declaration
I have read and understood the Declaration