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    APPLICATION FORM For Delivery Channel Services

    Uploaded by

    Ashish Sharma
    1. The applicant is applying for internet, mobile, and telebanking services from Central Bank of India and provides their personal details such as name, address, date of birth, phone numbers, and account details. 2. The applicant accepts the terms and conditions on the bank's website and declares that transactions executed using their user ID and password will be legally binding. 3. For joint accounts, each holder must submit a separate application and services can only be provided to owned and either or survivor type accounts.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    APPLICATION FORM For Delivery Channel Services

    Uploaded by

    Ashish Sharma
    653 views2 pages
    1. The applicant is applying for internet, mobile, and telebanking services from Central Bank of India and provides their personal details such as name, address, date of birth, phone numbers, and account details. 2. The applicant accepts the terms and conditions on the bank's website and declares that transactions executed using their user ID and password will be legally binding. 3. For joint accounts, each holder must submit a separate application and services can only be provided to owned and either or survivor type accounts.

    Original Description:

    Registration Form Central Bank

    Original Title

    RegistrationForm

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    © © All Rights Reserved

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    1. The applicant is applying for internet, mobile, and telebanking services from Central Bank of India and provides their personal details such as name, address, date of birth, phone numbers, and account details. 2. The applicant accepts the terms and conditions on the bank's website and declares that transactions executed using their user ID and password will be legally binding. 3. For joint accounts, each holder must submit a separate application and services can only be provided to owned and either or survivor type accounts.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    653 views2 pages

    APPLICATION FORM For Delivery Channel Services

    Uploaded by

    Ashish Sharma
    1. The applicant is applying for internet, mobile, and telebanking services from Central Bank of India and provides their personal details such as name, address, date of birth, phone numbers, and account details. 2. The applicant accepts the terms and conditions on the bank's website and declares that transactions executed using their user ID and password will be legally binding. 3. For joint accounts, each holder must submit a separate application and services can only be provided to owned and either or survivor type accounts.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FORM for Delivery Channel Services

    TO: For Office use only


    The Branch Manager
    Application Branch Sl.No.:
    Central Bank of India
    _____________________ Date:

    I / we wish to apply as an end user to Internet / Mobile / Tele Banking services offered by you
    (Strikeout whichever is not applicable). The terms and conditions mentioned by the Bank over their
    official website are acceptable to me/us.
    First Name Middle Name Surname
    Applicant’s Name:
    Address:

    Pin:
    Date of Birth :( DD-MM-YY) PAN Number*
    Telephone (O): Mobile No:
    (R): E-mail ID:
    Operation Condition* Own Account / EOS/FOS/HUF
    EOS- Either or Survivor, FOS-Former or Survivor, HUF- Hindu Undivided Family
    My Account Details: Account No Specify the mode of Operation

    SAVINGS A/C

    CURRENT A/C

    CC/OD

    TIME DEPOSITS

    OTHERS
    In case of joint account(s), the delivery channel services shall be provided only to owned and
    either or survivor type only.

    I. INTERNET BANKING FACILITIES REQUIRED: YES / NO (Tick whichever is applicable)

    II. MOBILE BANKING FACILITIES REQUIRED: YES / NO (Tick whichever is applicable)


    (Bank shall intimate the customer about the new facilities offered through their website).
    Mobile Number to which alerts need to be sent: ______________________________________
    E-mail Id to which the alerts need to be sent: __________________________________________
    III. TELE BANKING FACILITIES REQUIRED : YES / NO (Tick whichever is applicable)
    General Conditions:
    1. The Joint Account holder(s) desirous of using the delivery channel services shall submit a
    separate application form.
    2. In case of joint account(s), the delivery channel services shall be provided only to owned
    and either or survivor type only.
    3. Bank reserves the right to offer/discontinue the service(s) selected herein without any
    further notice.
    4. Initially, Bank is providing following services through Internet Banking – Account
    Statement, Balance Enquiry, Fund Transfers.
    Declaration:
    I declare that I have read and understood the document containing the “Terms & Conditions” and
    “disclaimer” governing Central Bank of India’s Internet & Mobile Banking Services as provided in the
    Bank’s Internet Banking Website – https://www.centralbank.net.in / www.centralbankofindia.co.in and
    I accept the same. Further, I also agree that the transactions and requests executed in the above
    mentioned accounts through ‘Internet, Mobile and Tele Banking under my User ID and Password will
    be legally binding on me and I am responsible for maintenance of secrecy and confidentiality of the
    information passed on to me by the Bank through Internet/Mobile/Email/Telephone. I have the
    mandate from the other joint holders to view/inquire/operate the joint accounts mentioned above.

    Date: APPLICANT’S SIGNATURE

    FOR OFFICE USE ONLY


    Customer ID ___________________
    Names, Account No, Accounts linked to above customer ID, Address & Signatures of the applicant/s
    verified and found as per Bank’s records. If any changes are required, they are complied. Required
    services are enabled in Bancs-24 & e-Bankworks module. Mode of Operation declared herein the
    application is tallying with the existing records of Bank.

    Recommended and Permitted for providing Internet / Mobile / Tele-Banking services.

    Date: Branch Stamp Signature of Officer (Index No) Signature of Branch in-charge

    Acknowledgement received from the Signature of the customer verified and


    Account Activated
    Customer on _________________
    Date : Signature of Officer

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