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MBoB Change Request Form June 2022

This document is a change request form for mBoB, Bank of Bhutan's mobile banking service. It allows customers to request changes to their mBoB account details such as mobile number, email, daily transfer limit, or to link/de-link additional accounts. The form also has options for merchants to request QR codes for payment acceptance. It requires fields like name, mBoB user ID, contact details, CID/permit number, and signature to be filled for identity verification before the change can be made.

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694 views1 page

MBoB Change Request Form June 2022

This document is a change request form for mBoB, Bank of Bhutan's mobile banking service. It allows customers to request changes to their mBoB account details such as mobile number, email, daily transfer limit, or to link/de-link additional accounts. The form also has options for merchants to request QR codes for payment acceptance. It requires fields like name, mBoB user ID, contact details, CID/permit number, and signature to be filled for identity verification before the change can be made.

Uploaded by

karma karma
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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mBoB CHANGE REQUEST FORM - CUSTOMER/MERCHANT/AGENT

(ALL THE PARTICULARS WITH * SIGN ARE MANDATORY)

The Branch Manager,


______________________________

Sir/Madam,
I/we would like to request for the following:

Change Request: (Tick (✓) the options appropriately)

Forgot User ID Reset M-Pin


Device change Reset T-Pin
Change of mobile number New mobile number: ____________________________
Change of email ID New email address: _____________________________
Link additional account /De-link account Account number: _______________________________
New Daily Fund Transfer Limit: _________________________(General: Nu. 1 ≤ 100,000, Silver: Nu.1 ≤ 500,000, Gold: Nu. 1 ≤ No Limit)
De-activate A/c:_________________________Reason: ________________________________________________

Merchant QR Code Request:

National QR merchant /BHIM QR /CBS QR (non-mBoB account) A/c Number: ____________________


A/c Type (SB/CD/OD):________________________________ A/c Name:__________________________________
Business Location: ____________________________________Dzongkhag:________________________________
Merchant Categories: ________________________________________(Handicraft & Gift/Antique Shop/Bakery/Airline/Fuel
Station/Garments/Grocery/Hotel & Restaurant/Medical/Motor Repair/Books & Stationary/Taxi service)

My Registered Details are as below:

Name with Salutation*


(Mr./Ms./Mrs./Dr./Dasho)

mBoB User ID*

Mobile No*: ________________________________Email ID*: __________________________________________


CID/Permit No*: Date of Birth*: ______________________________________
Present Address*: ______________________________________________________________________________

Applicant’s Signature:
(Signature should match with Bank record)

For Bank use only:----------------------------------------------------------------------------------------------------------------------------- -


Created by:(Signature) Authorized by: (Signature)

Employee ID:…………………………..……. Employee ID:…………………………


Date: .……….../………....../…………..… Date: …..…..../…..…..…/....…..…..
Bank of Bhutan Limited, Post Box No.102, Thimphu, Bhutan, PABX: +975-2-33433. https://www.bob.bt.Toll free contact center at 1095.

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