MOBILE BANKING APPLICATION FORM

KVB@MobilE
====We Travel with You=====

____________________Branch Date:


I / We wish to apply for the SMS banking and subscribe for the Mobile alerts facility offered by KVB. I
am herewith furnishing the details of my / our account for which this facility shall be enabled.
Customer Details
Customer ID

Customer Name

Customer Address


Account Number


Mobile Number (Only one)


E-Mail Address


( Please tick appropriate box. Optionally you can subscribe for any one or all of these services )
Type of Alert Alerted when Alert Limit SMS Email
Debit Alert
Debit Amount is greater than
Rs.
Credit Alert
Credit Amount is greater than
Rs.
Balance Alert
Daily Balance Alert
Available Balance
Over Draft Alert
Limit Exceeding / Over Draft
Net Outstanding

Declaration :
I/We have read and agree to abide by the terms and conditions governing KVB @ Mobile made available to me / us by THE
KARUR VYSYA BANK LTD.
Name of the Account Holder Signature of the Account Holder



Joint /A or S Accounts:
I/ We hereby agree and authorize the above account holder as Primary Account Holder to send and/or receive e-
mail / SMS Alerts / Send SMS Banking Requests to the Bank for the above account to the e-mail id / mobile
number specified.
Name of the Account Holder(s) Signature of the Account Holder
1.
2.
3.
4.
Note:
1. Use separate application forms for each account
2. Re-submit the application form in case of change of Mobile Number and/or E-mail Address.
3. For assistance call ________ (or) visit our nearest branch (or) visit our website www.kvb.co.in
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For Bank Use Only
Application Verified by
Application Entered by
Date