APPLICATION FORM FOR INTERNET / MOBILE BANKING (FOR INDIVIDUALS)
( F or f il lin g t he f or m u se" t ab" ke y of your PC t o m o ve f r om on e f iel d t o ano th er . Aft er f il lin g t he f or m p r int & sign and subm i t t o yo ur ba se br an ch)
I/We request you to register my /our application for internet banking facility & link my / our accounts with your branch / other
branch/es with following rights (choose one).
I TR AC K A p p li ca t io n N o .
Transaction Rights ( To be f il led by B r anc h)
View only (If you are not aware of your Customer ID, please enquire from your base branch)
CUSTOMER *
:
ID
ACCOUNT
NO.:
NAME OF ACCOUNT MR
HOLDER:
( In Blo ck L et ter s) MR
DATE OF SMARITAL STATUS: Married MARRIAGE ANNIVERSARY
BIRTH:
( I n dd /m m / yyyy f or m at ) Single DATE: ( In d d- mm m fo r ma t, e. g . 1 5 -J a n )
RESIDENTIAL Resident Indian Non Resident Indian Foreign Resident
STATUS:
OCCUPATION
:
PREFERRED USER 1. 2. 3.
ID:
(M in im um 6 ch ar ac te rs - w ill b e al lott ed s ub je ct to a va ilab ility )
COMMUNICATION
ADDRESS:
City: State: Country:
Pin:
Email Address:
Telephone Number: Mobile Number:
( wi th STD /I SD Co d e )
Details of existing accounts to be linked for Internet Banking (if space insufficient attach additional sheet)
Branch Name Name of Jt. A/C Holder Account No. Mode of
operation Self
Self
Self
Self
§
I/We also wish to avail Mobile Banking facility
1. 2.
Mobile Numbers for Mobile Banking 3. 4.
§
(whenever offered by Bank of Baroda)
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Declaration:
I/We affirm, confirm and undertake that I/we have read and understood the Terms and Conditions for usage of the Bank of Baroda e-Banking Retail services and agree to
them.
I/We am/are aware that the usage of Bank of Baroda e-Banking is governed by the terms and conditions which are displayed <https://www.bobibanking.com> the site
on
maintained by Bank of Baroda and I/we have reviewed the contents of the same. Further, I/we accept the terms and conditions governing internet banking of Bank of
Baroda
applicable for bank accounts as displayed on bank’s website. I/We accept and agree that I/we are aware of the contents of the terms and conditions and that all my/our rights
and
liabilities would be governed by the said terms and conditions by my/our act of accessing https://www.bobibanking.com . I/we thereby agree to be subject to and
on comply
with all the provisions of the terms and conditions which are incorporated by reference herein and deemed to be part of this application form to the same extent as if
such
provisions had been set forth in full herein.
Additional Terms & Conditions for NRI Customers
I/We agree that the facility of Bank of Baroda e-Banking shall be available only in specified type of accounts/s notified by Bank as eligible for internet banking facility
from
time to time. I/We do hereby undertake that I/we shall not make available to any persons resident in India, foreign currency against reimbursement in rupees or in any
other
manner in India. I/We further confirm that all debits to my/our accounts for the purpose of investment in India and credit representing sale proceeds of investment in India
are
covered either by general or special permission of Reserve Bank of India. I/We agree that the facility of Internet Banking is available intra-bank only and no fund transfer can
be
effected from other banks to my/our account maintained at Bank of Baroda as well as no fund transfer is permissible from Bank of Baroda to accounts maintained with
other
banks. I/We further undertake and declare that any request made by me/us through Bank of Baroda e-Banking facility for transfer of fund shall be for the approved
bonafide
transactions of domestic nature only and in any event such request will not be in contravention to the various regulations framed under Foreign Exchange Management
Act,
1999, Foreign Exchange Management [Deposit] Regulations, 2000 and other rules and regulations laid down by Reserve Bank of India including Exchange Control
Regulations.
I/We do hereby indemnify and forever keep indemnified the Bank and its successors and assigns, from and against any and all claims, actions, penalties that may be
made,
suffered or incurred by the Bank by reason of non compliance of any of the terms and conditions mentioned
therein.
Signature:
Date: ( I n dd /m m / yyyy f or m a t)
Place:
N.B.: Baroda e-banking Retail Services are provided only in those accounts where the mode of operation is one of the following – (1) Self; (2) Either or Survivor; (3) Anyone or
Survivor/Survivors. Each signatory to an account requiring access to Baroda e-banking Retail Services must have a separate User ID and PIN and therefore a separate form
must
be used for applying for these services by each signatory to an account. For expeditious registration please ensure that all information given in the form is complete &
correct.
For Office
Branch confirmation: Use For Baroda Connect Operations Team:
We confirm that User ID created on:
1. The customer details given above are correct and the same are
recorded in CBS also;
2. We have verified the signatures of the customer as appended
above; Signature:
3. All the accounts of the above customer have been linked to one
Customer ID as given above; Name:
4. We have enabled t he above Customer ID for ebanking in Finacle -
FVTM/CFTM; and User ID dispatched on:
5. We recommend granting ebanking facility to the above customer.
Signature of Branch Manager : Password dispatched on:
Name of Branch Manager:
Signature Number:
Signature:
Branch Alpha: Name:
SOL
ID:
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