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SimplySAVE SBI Card SBI Signature Contactless Card S Form No.

SBI Card Application Form

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Page 1: SBI Card Application Form

SimplySAVE SBI CardSBI Signature Contactless Card

SForm No.

Page 2: SBI Card Application Form

Annual Charges / Premium Rs. 479/- (inclusive of taxes).

*Any change in service tax by notification of Government will have an impending effect on premium

Plan Details

Age 1 Lac 2 Lac 3 Lac 2 Lac 3 Lac 2 Lac 3 Lac 2 Lac 3 Lac

Up to 35 yrs 1,651 2,157 2,484 3,599 4,145 4,643 5,351 5,686 6,604Up to 45 Yrs 2,090 2,731 3,015 4,559 5,032 5,600 6,277 6,695 7,481Up to 55 Yrs 4,000 5,229 5,806 8,726 9,689 9,788 10,919 10,929 12,223Up to 60 Yrs 5,058 6,612 7,343 11,033 12,253 12,127 13,599 13,250 14,830Up to 65 Yrs 6,069 7,933 8,811 13,240 14,705 14,551 16,317 15,902 17,798

Premium Chart for One Year (Inclusive of 14% Service Tax). Please tick your preference.

1 Adult 2 Adults 2 Adults + 1 Child 2 Adults + 2 Children