Change contact details & personal details

Form to amend contact and personal details

Please complete this form in full and send the signed original alongside a clearly legible

copy of an official document by post to Swiss Bankers:

Swiss Bankers Prepaid Services Ltd, Kramgasse 4, 3506 Grosshöchstetten, Switzerland

Previous details of the cardholder

Card number¹*

Please enter all card numbers.

Title*

First name*

Last name*

Date of birth*

Street*

House No.*

Postcode*

Town/city*

Landline*

Mobile phone*

E-mail address*

New details of the card holder²

Valid from*

Title*

First name*

Last name*

Date of birth*

Street³*

House No.*

Business, c/o and PO box addresses are not accepted.

Postcode*

Town/city*

Landline*

Mobile phone*

E-mail address*

¹Please enter all card numbers.

²For address changes, the following documents are required:

ID, passport, or residence permit

For a change of personal details (name, first name, gender, date of birth), the following documents are required:

ID, passport, or residence permit and additionally an official document such as a family book, marriage certificate, etc.

³Business, c/o and PO box addresses are not accepted.

Place, date: _____________________________

Signature of holder:_________________________

Swiss Bankers Prepaid Services Ltd
Kramgasse 4
3506 Grosshöchstetten
Switzerland

T +41 31 710 11 11
swissbankers.ch

Fields marked with an asterisk (*) are mandatory.

Change contact details & personal details

Form to amend contact and personal details

Swiss Bankers Prepaid Services Ltd, Kramgasse 4, 3506 Grosshöchstetten, Switzerland

Previous details of the cardholder

New details of the card holder2

New details of the card holder²