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Code No. 4006676
STATE BANK OF INDIA
APPLICATION FORM
For i-Banking/Telebanking /ATM Card /Debit Card
To (For existing Atcount Holders only
The Branch Manager CIF NO...
STATE BANK OF INDIA
Branch
Dear Sir,
I request you to register me for
i-Banking Telebanking ATM Card Debit Card
My Name I II THO
(AS IT SHOULD APPEAR IN THE CARD)
MYACCOUNT NOS STYLE OF ACCOUNT (E or Setc.)
X
X|
X
X
Accounts on which I requireATM/Debit Card Service
Primary
Secondary
I want only Enquiry Rights in the following A/cs.
MY PRESENT ADDRESS FOR COMMUNICATION
E-mail Tel (O) (R)_
Mobile Nos Fax No.
Date of Birth
I confirm that I am the sole Drawer in (For E or S A/cs) or one of the drawers (E or S or Any or Survivor A/cs)
I confirm having read and understood the terms and conditions of each service I have optd. for. The copy of
terms of service have been handed over to me.
Place Date: Sgnature
*Example
0109 0 0 X75 8 8o E or S