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    APPLICATION FORM For Delivery Channel Services: Date of Birth: (DD-MM-YY)

    Uploaded by

    jay shah
    The application form requests applicant information like name, address, account details, and requires the applicant to accept the terms and conditions for using delivery channel services. It notes that services will only be provided for owned and either or survivor joint accounts. The applicant must declare that they have read and understood the terms and conditions governing Central Bank of India's internet, mobile, and tele banking services.

    Copyright:

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

    APPLICATION FORM For Delivery Channel Services: Date of Birth: (DD-MM-YY)

    Uploaded by

    jay shah
    53 views2 pages
    The application form requests applicant information like name, address, account details, and requires the applicant to accept the terms and conditions for using delivery channel services. It notes that services will only be provided for owned and either or survivor joint accounts. The applicant must declare that they have read and understood the terms and conditions governing Central Bank of India's internet, mobile, and tele banking services.

    Original Title

    Internet_Banking.docx

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    The application form requests applicant information like name, address, account details, and requires the applicant to accept the terms and conditions for using delivery channel services. It notes that services will only be provided for owned and either or survivor joint accounts. The applicant must declare that they have read and understood the terms and conditions governing Central Bank of India's internet, mobile, and tele banking services.

    Copyright:

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

    APPLICATION FORM For Delivery Channel Services: Date of Birth: (DD-MM-YY)

    Uploaded by

    jay shah
    The application form requests applicant information like name, address, account details, and requires the applicant to accept the terms and conditions for using delivery channel services. It notes that services will only be provided for owned and either or survivor joint accounts. The applicant must declare that they have read and understood the terms and conditions governing Central Bank of India's internet, mobile, and tele banking services.

    Copyright:

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

    https://www.centralbank.net.in/jsp/Register.

    htm

    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 Account No Specify the mode
    Details: 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,
    Cheque enquiry, Demat enquiry and Fund Transfers.

    Declaration:
    I declare that I have read and understood the document containing the “Terms & Conditions” and “disclaimer” governing Central

    https://www.centralbank.net.in/jsp/Register.htm (1 of 2)04/03/2008 4:36:51 PM


    https://www.centralbank.net.in/jsp/Register.htm

    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 ___________________

    Signatures, account no. and names of the applicant/s verified and found as per Bank’s records. Required
    services are enabled in Bancs-24 & e-Bankworks module. Recommended and Permitted for providing Internet/
    Mobile/Tele Banking services. Mode of Operation declared herein the application is tallying with the existing
    records of Bank.

    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

    https://www.centralbank.net.in/jsp/Register.htm (2 of 2)04/03/2008 4:36:51 PM

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