SMS Banking Application Form

1. Name of the customer :

2. Address (if changes from what informed to bank):

3. Branch :
4. Primary Account Number:
(only SB, OD & CD accounts)
5. Mobile Number :
(without country Code)
6. Country Code :
(for NRI customers holding mobile number issued abroad)

ALERTS DESIRED

1. Balance below Rs _____ in primary account: Yes / No (amount above Rs 1000 only)
2. Credits above Rs_____ in primary account : Yes / No (amount equal to or above Rs
1000/5000 for SB or OD/CD resp.)
3. Debits above Rs_____ in primary account : Yes / No (amount equal to or above Rs
1000/5000 for SB or OD/CD resp.)
4. Deposit Maturity alert : Yes / No
5. Loan installment due alert : Yes / No

Declaration:*

I hereby agree to subscribe to Banks SMS Banking services on its terms and conditions ,
which are explained on bank’s web site www.unionbankofindia.co.in. I also agree to pay
the service charges for use of SMS Banking facility as decided by Bank from time to
time. I have no objection to Bank sending promotional, greeting messages and also for
sending me alerts other then those opted/listed above. I also understand that SMS
Banking is an additional service by Bank but I continue to remain liable for maintaining
minimum required balances as well as for fair conduct of my accounts.

Signature

Place :
Date :

*conditions apply