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    ATM Card

    Uploaded by

    Pardeep Malik
    The document is an application for an international ATM-debit card from State Bank of Patiala, in which the applicant provides their account details and personal identification information to apply for an international debit card that can be used for transactions both within India and abroad in compliance with exchange control regulations. The applicant also authorizes the bank to recover any fees associated with the international card from their account.

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    Attribution Non-Commercial (BY-NC)
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    ATM Card

    Uploaded by

    Pardeep Malik
    88 views2 pages
    The document is an application for an international ATM-debit card from State Bank of Patiala, in which the applicant provides their account details and personal identification information to apply for an international debit card that can be used for transactions both within India and abroad in compliance with exchange control regulations. The applicant also authorizes the bank to recover any fees associated with the international card from their account.

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    The document is an application for an international ATM-debit card from State Bank of Patiala, in which the applicant provides their account details and personal identification information to apply for an international debit card that can be used for transactions both within India and abroad in compliance with exchange control regulations. The applicant also authorizes the bank to recover any fees associated with the international card from their account.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    88 views2 pages

    ATM Card

    Uploaded by

    Pardeep Malik
    The document is an application for an international ATM-debit card from State Bank of Patiala, in which the applicant provides their account details and personal identification information to apply for an international debit card that can be used for transactions both within India and abroad in compliance with exchange control regulations. The applicant also authorizes the bank to recover any fees associated with the international card from their account.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    State Bank of Patiala

    Application for International ATM-Cum-Debit Card


    To
    The Branch M anager,
    State Bank of Patiala
    ,

    A. I hold the account No.

    With your branch in my sole name/ jointly with


    To be operated on Either or Survivor/ Any one or Survivor basis. I have been issued a
    domestic Debit Card bearing Number

    / have not been issued any Debit Card (delete as ap plicable). I hereby apply for an
    International Debit Card for my use. I authorize y ou to block the Domestic Debit Card as
    long as I use the International Debit Card. I am aware that International Card can be used
    from India and aborad.

    B. M y name on the card should ap p ear as under (This can be full name (not exceeding
    maximum 24 letters), or an abbreviated form of the name of the ap p licant for examp le,
    Bharat Kumar can appear as Bharat Kumar, B. Kumar or K. Bharat)

    C. I furnish the following particulars to be used for identification when I contact the
    "Help line" through telephone for reporting loss of International Debit Card

    Father's First Name : M other's M aiden Name **:

    Date of Birth Year of Year of


    Passing SSC M arriage ***
    D D MM Y Y Y Y YY Y Y Y Y Y Y

    Do not furnish the surnames example : if name is S R Tendulkar, the name should be
    Sachin.

    ** In respect of M other's maiden name, you may furnish mother's name before marriage
    *** If these dates are not relevant it may be filled as XXXX
    I am aware that the International Card can be used for all domestic transactions and
    transactions involving foreign exchange permitted under the Foreign Exchange
    M anagement Act and the Rules framed there under by Reserve Bank of India from time
    to time. I undertake to use the card in strict compliance with the applicable Exchange
    Control / M anagement Regulations and any violation thereof will result in cancellation of
    the card and make me liable under relevant p rovisions of the Act/ Regulations. I also
    undertake to furnish all the details in resp ect of any transaction entered into by me to
    facilitate any investigation.

    I hereby authorize you to recover from my account the cost of the card and all other fees
    which may be p ay able by State Bank to M aster Card (other than transaction fee) for
    extra-ordinary services rendered by them (example lost/stolen card).

    Place :
    Date : (Signature of Applicant)

    Name :
    Address :
    Telephone No.
    M obile No. E-mail

    OFFICE USE
    Account particulars & signature of the Applicant & mode of op eration verified. Request
    for issue of International Debit Card approved/ declined for the reason

    (delete as applicable)
    Date : (Authorised official)

    Data for issue of International Debit Card forwarded for processing

    Branch Name
    Code Number
    Date (Authorised official)

    State Bank Contact Centre :


    24 x 7 STATE BANK CONTACT CENTRE is available at toll free number 1800
    112211 (BSNL/ M TNL land lines ), for calling from mobile/ other land lines or abroad,
    dial 0091 80 2560 8470 or E-mail at contactcentre@sbi.co.in or write to : State Bank
    Contact Centre, P.O. Box No. 825, Bangalore - 560008

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