‘Annexure Request form for avaiting Bank of India Star™™"** (Core Banking) Services | RETAIL Mobile Banking for Individual / Sole-Proprietorship concer Page of | ‘The Manager Seal Nuriber Bank of India, Branch. (To be file by the branch) Dear Sir / Madam, dina BOL Star’*""* banks ee 7 rst Name jddle Name Last: My Customer ID My Internet Banking User ID is ‘My Mobile Number is Declaration ‘Teor rn tat [have read and understood tha armas and Conditions” annexed Porto [as given on the Bans web Sta or the usage OF BARK of India Star" (Core Banking) Services and uncondtionaly accept and agree to abide by the same end such ater modications made by Bank of India (BOI) fom tne to time. Tam aware of the nature of sonices offered by Bank of Ince though Star=™=" (Core Banking) ‘Services and shal pay charges / taxes as applicable, trom time to time, asset forth in Bark of India's web ste or communicate / demanded by Bark of Inca from time to time. 1 alo agree to al the terme / conden of opening /appiing / maintaining / operating a8 applcale | modiieg for usage of Bank of India Star™™" (Core Banking) Services » a5 may be in ore from ime to time. 1 further authorza Bank of Ira to ‘abe my Account() towards charges for avaing of soraces rough Bank of India Star" (Core Banking) Services. | decare that all the paricuars and information given in this fom are tue, correc, complete ard up-to-date fn al respects and , have not wid any iteration. 1 ‘gree and undertake to provice any futher informston that Bank of Inia may require. | age and understand tat Bank of Ila roserves the ‘ight 0 reject any application oF block or withdraw the Bank of India Star“™=" (Core Banking) Services = t0 any oF al accourn(s) wihot ‘assigning any reason. 1 authorize Bank of Tha o ther agers to make references ard enqules which BOI ofits agents cnsicer necessary In Fespect of on relation to nvaration in this appcadorutuer applcaors. Date__/_/, Signature Place. Name — For Branch use only (Strike out whichever isnot applicable) 1, The Customer's particulars, signature/s and details have been duly verified and the same are as per the Bank's record. 2. Resolution (wherever applicable) is obtained and kept on record. 3. We recommend for providing the Bank of India Star®""** (Core Banking) Services to the applicant and confirm that the applicant has been enabled for Mobile Banking set at the Finacle Core on (Note:- All Forms obtained from the customer to be retalnad at the Branch after processing) Date: _/__/20__ Signatu Sign Code: Place Name: Bank of India: Siar Mobile Banking