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Application Form For Internet Banking

This document is an application form for internet banking. It requests registration for internet banking facilities and linkage of accounts. It collects information such as customer and account details, user details including names and mobile numbers, transaction limits, and signatures. The applicant declares that the information provided is correct and agrees to terms and conditions. Signatures of joint holders are also required. For official use, officers must verify account details and signatures before a manager approves the application.

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Margita Infra
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360 views

Application Form For Internet Banking

This document is an application form for internet banking. It requests registration for internet banking facilities and linkage of accounts. It collects information such as customer and account details, user details including names and mobile numbers, transaction limits, and signatures. The applicant declares that the information provided is correct and agrees to terms and conditions. Signatures of joint holders are also required. For official use, officers must verify account details and signatures before a manager approves the application.

Uploaded by

Margita Infra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR INTERNET BANKING

Please Fill the form in English and Capital letters. Fields Marked * (Star) are Mandatory
I/We request you to register my/our application for internet banking facility & link my/our accounts
with your branch/other branches with the following rights.
1.*
Application No. Sender Branch Code Sender Branch Name

Customer Id.
(To be field by branch)
1.

2.* 2.1 Name of Account

2.2 Account No.

3.* View and Fund transfer OR View Only

4. Link all my accounts which are linked with this customer id.
OR
Details of any existing accounts to be linked for internet banking. (Except FD accounts)
Mode of
Account No. Name of Account
Operation

5.* User Details

Sr. Maker / Mobile No.


Name Of user
No. Checker Email Id.

6. Per Day Transaction Limit (For corporate max limit 1 Crores / Individual max limit 15 lakhs) in all accounts.
(Default Limit of Corporate User is 15 Lakhs and for Individual is 5 lakhs per day.) (All figures are in INR)

In figure in words ___________________________________________________

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Declaration:
I / We confirm that the details mentioned in the application form (Point no 1 to 6) are correct and in my knowledge.

I / We have read and agree to abide by the terms and conditions governing Internet Banking and understand that any changes to the terms and
conditions will be available on the website www.mucbank.com / www.mucb.in only.

I / We are aware of the fact that the facility of Internet Banking is granted solely at our request and that the Bank shall in no way be responsible for
any kind of hacking and / or phishing attacks and / or cyber related crime, which may take place or happen in the account during the pendency of
the facility and which may result in a loss due to the transfer of the funds from my / our account to the third party's account. I / We are also aware
of the fact that while Bank has taken all necessary available precautions the chances of such attacks by third parties cannot be ruled out in any view
of the matter the Bank shall stand indemnified from any such claims from our side.

I / We shall advise the Bank immediately in case of any change in the above details including the addition and deletion of user and the information
given in the Application form.

Necessary resolution / authorization is enclosed on the letterhead. The requisite documents like board resolution / declaration etc. are required to
be submitted giving mode of operation and limits.

7.* Signature (Required signature of all joint holders or Partners)


1. Name: _______________________________________________ Signature: _____________________
2. Name: _______________________________________________ Signature: _____________________
3. Name: _______________________________________________ Signature: _____________________
4. Name: _______________________________________________ Signature: _____________________
5. Name: _______________________________________________ Signature: _____________________
6. Name: _______________________________________________ Signature: _____________________
7. Name: _______________________________________________ Signature: _____________________
8. Name: _______________________________________________ Signature: _____________________
9. Name: _______________________________________________ Signature: _____________________
10. Name: _______________________________________________ Signature: _____________________

Date: __________________
Company Seal
Place: __________________

For Branch / Office Use only


I hereby confirm that the mode of operation of the account(s) and signature(s) of the client are verified

Officer Manager

Name Name
Emp. Code Emp. Code
Signature Signature

Date __________________ Place ________________


Branch
Note if any : ______________________________________________________________________
Seal
________________________________________________________________________________
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