MOBILE PHONE BANKING APPLICATION FORM
Please complete, sign below and submit to your nearest Service Centre.
                                                                                                       Date:............../................/................
                                                                      +
Mo626ice                               Mo626 Digital                                            Both                        (Tick your preference)
                                       (For smartphones only)
Surname:…................………...........................................................................................................…….
First Name(s):…….......................................................................................................................................
Postal Address:………………………………………...........................................……………..
Date of Birth:……………………….. Email Address:………....................................…………
National ID No.:............................................................... Passport No.:...................................................
(Malawian)			                                                                                  (Non-Malawian)
Security Question
(Clearly write or tick what security question details you have provided stand for. i.e. if it stands for Village tick Village or
any other)
Father/Mother’s First Name                                                .................................................................................................
Pet’s Name                                                                .................................................................................................
Village Name 		                                                           .................................................................................................
Other 			.................................................................................................
............................................................................................................................................................................
Mobile Phone Number(s) to be registered for access:
1……………………………….....................                                                 (Primary Number - Pin and Alerts will be delivered to this number only)
2...........................................................……...…...
3………………………....………………...
1.       A/C No:              ���������������
         Service Centre.....................................................................................................................................
2.       A/C No:              ���������������
         Service Centre.....................................................................................................................................
3.       A/C No:              ���������������
         Service Centre.....................................................................................................................................
4.       A/C No:              ���������������
         Service Centre.....................................................................................................................................
Services Provided: (Clearly Tick Services Required)
Mandatory                                                              Optional
□ Balance Enquiry                                                      □ Funds Transfer/Third Party Payment
□ Mini Statement                                                       □ Stop Payment
□ PIN Change                                                           □ Cheque Book Request
			                                                                    □ Mobile Top Up
                                                                       □ Bill Payment
                                                                                                                      Secure . Convenient .
                                                                                                                      Anywhere, Anytime
                          National Bank of Malawi plc
                                       Registered under Financial Services Act 2010
                                                                Terms and Conditions
1.       The Service
1.1      The service is designed to allow National Bank of Malawi plc customers to enquire balances,
         transactions, top up mobile phones with units and data, transaction alerts/notifications, bill
         payments and various other facilities related to the product as will be introduced from time
         to time.
1.2      National Bank of Malawi plc does not guarantee that the service or the use thereof by the
         customer will be uninterrupted.2
2.       Service Security
2.1      The customer is expected to keep their login (PIN) details secure at all times.
2.2      The customer shall follow National Bank of Malawi plc Security procedures at all times to
         avoid unauthorized access to the National Bank of Malawi plc login information.
3.       Termination
3.1      National Bank of Malawi shall cease to provide the Service to the customer if the customer
         ceases to be a National Bank of Malawi plc customer or otherwise ceases to utilize the system
         for any reason or National Bank of Malawi plc reasonably believes that the Service is not
         of value to a customer who has not used it for a period of at least 3 months. National Bank of
         Malawi plc may also cease to provide the service where the customer uses the service for
         fraudulent purposes or commits gross negligence in the operation of the service.
3.2      This agreement may be amended to include a development in, or to reflect a change in the
         law including any code of practice (or the way in which they are applied) or to correct a
         mistake.
3.3      National Bank of Malawi plc shall inform the customer of any change by sending an e-mail,
         separate written notice or by advertising on its broadcast.
3.4      National Bank of Malawi plc shall give at least one month’s prior notice for any amendment to
         this Agreement.3
4.       Disclaimer
4.1      National Bank of Malawi plc shall not be liable for any losses the customer may suffer on any
         account if the account is subject to unauthorized access or an unauthorized transaction
         unless that unauthorized access or unauthorized transaction is caused by the Bank’s 		
         negligence.
4.2      Should the customer believe that there has been any unauthorized access or any 		
         unauthorized transaction affecting their account, the customer shall inform National Bank
         of Malawi plc immediately by phone followed by written confirmation and provide the Bank
         with reasonable assistance to investigate the position in accordance with National Bank
         of Malawi plc’s procedures. The customer hereby agrees to provide National Bank of Malawi
         plc with all the assistance, technical or otherwise, which National Bank of Malawi plc may
         need in the said investigation.
4.       Governing Law
         This agreement shall be governed by the Laws of Malawi and the parties here to consent to
         exclusive jurisdiction of the Malawi courts in all matters regarding it.
I/We agree to the foregoing information and above Terms and Conditions.
Signature……………………………………… Signature……………..........…………….....……....……
For National Bank of Malawi plc Service Centre Use
Checklist
Account Name□ Account Number□ Primary Mobile Number□ Security Question□ Services Selected□
Customer Signature□
Customer ID........................................................................ Product Code.......................................................................
Signature verified by…………………………………….................. Date...........................................................
e-Banking Use
Captured by…………………..........………… Activated by…....….......................................................………
Signature……………………...........……….... Signature…….......……..........................................…….....….
Date………………………………….........….. Date….......................….............................……….....………..
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