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