Connect

Request form for availing Bank of India Star

(Core Banking) Services
><formnb
(Internet / SMS / WAP / Tele Banking)
Individual / Sole-Proprietorship concern

RETAIL
Page 1 of 2

The Manager
Bank of India,____________________Branch.
Dear Sir / Madam,
Request for availing BOI StarConnect(Core Banking) Services- Internet/ SMS/ WAP/ Tele Banking
I

First Name

Middle Name

Last Name

My Customer ID(s)
Residential Status:

Indian Resident

Name of the Firm*

Activity Type*

Trading

Non Resident Indian

Manufacturing

NGO

Foreigner

Services

Others __________________

(* Applicable in case of Sole-Proprietorship/ Partnership/ Body Corporate concern)

Date of Birth __________________

Mothers Maiden Name____________________________
(DD/ MM/ YYYY)
I wish to have any one of the following User ID mentioned in the order of preference.
Guidelines for User ID* selection:
1) The first character has to be an alphabet only
2) Minimum length is 6 and maximum length is 10
3) Cannot contain special characters like * ,_, @, & ,+
4) Cannot contain spaces

* User ID shall be allotted to you subject to its availability and shall be advised by a PIN Mailer at your communication address.

Services Required (please tick ; your choice)

Internet Banking :Fund Transfer Facility
Yes
No
Tele Banking
With out Fund Transfer

WAP Banking
With Fund Transfer

SMS Banking

Communication address

City
Phone(O)
Mobile

State
Fax

Pin Code
Phone(R)

Email

Declaration
I confirm that I have read and understood the Terms and Conditions annexed hereto / as given on the Banks web site for the usage of Bank of
India StarConnect (Core Banking) Services and unconditionally accept and agree to abide by the same and such other modifications made by
Bank of India (BOI) from time to time. I am aware of the nature of services offered by Bank of India through StarConnect (Core Banking)
Services and shall pay charges / taxes as applicable, from time to time, as set forth in Bank of Indias web site or communicated / demanded by
Bank of India from time to time. I also agree to all the terms / conditions of opening / applying / maintaining / operating as applicable / modified
for usage of Bank of India StarConnect (Core Banking) Services - as may be in force from time to time. I further authorize Bank of India to
debit my Account(s) towards charges for availing of services through Bank of India StarConnect (Core Banking) Services. I declare that all the
particulars and information given in this form are true, correct, complete and up-to-date in all respects and I, have not withheld any information. I
agree and undertake to provide any further information that Bank of India may require. I agree and understand that Bank of India reserves the
right to reject any application or block or withdraw the Bank of India StarConnect (Core Banking) Services - to any or all account(s) without
assigning any reason. I authorize Bank of India or their agents to make references and enquiries which BOI or its agents consider necessary in
respect of or in relation to information in this application/further applications.

Date____/___/______

Signature _____________________________

Place______________

Name

Bank of India: StarConnect (Core Banking) Services Request Form

(___________________________ )
Page 1 of 2

Connect

Request form for availing Bank of India Star

(Core Banking) Services
><formnb
(Internet / SMS / WAP / Tele Banking)
Individual / Sole-Proprietorship concern

RETAIL
Page2 of 2

For Branch use only (Strike out which ever is not applicable)
1. Customer Details

Name

Gender
Status
Marital Status
Education
Occupation
Type
Annual Income

(Please tick ; relevant boxes)

: __________________________________________
:
Male
Female
:
Individual
Sole Prop.
HUF Karta
Director
:
Single
Married
Divorced
:
Under Graduate
Graduate
Post Graduate
: _______________
:
Staff
General
Valued Customer
: _______________

Partner

Others

Doctorate.

2. The Customers particulars, signature/s and details have been duly verified and the same are as per the
Banks record.
3. Resolution (wherever applicable) is obtained and kept on record.
4. We recommend for providing the Bank of India StarConnect (Core Banking) Services to the
applicant and confirm that the applicant has been enabled for Internet Banking / Tele banking / Both
set at the Finacle Core on __________________
Date: ___/___/20___
Place ________________

Signature:.. Sign Code:__________

Name:__________________________________________

For Data Centre Use only

Data Centre Serial Number.

Request Form received on

User Id Created on

User Profile
BRCM
Login Password Set on
Transaction Password Set on
TPIN Set on
Transaction PIN Set on

Bank of India: StarConnect (Core Banking) Services Request Form

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