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/q ICICI Bank ‘Mobile Banking Bank On Your Mobile Phone! Get alerts and operate your bank account on the move. Get banking alerts on; > Account debit and credit > Salary credit > Cheque return Ask: For Account balance (IBAL) To stop cheque (ISCR) For last 3 transactions (ITRAN) For new Cheque Book (ICBR) For status of cheque (ICSI) To view presented bill (IVIEW) eee eee For e.g, to know the balance in your account, please send IBAL to 5676766 PNT merece mlm ull mst ait fa Lam UMN RO er- Laue Download the iMobile application to your handset and stay connected with ICICI Bank 24x7 cc pin Check Balance Details To download iMobile GPRS users, ‘SMS IMOBILE to 5676766 Non-GPRS users and CDMA users, Visit www.icicibank.com Safety First - iMobile is secure with 128 bit encryption ICICI Bank’s iMobile is free. Only operator charges may apply. (Once your new number is registered, please download the iMobile application. Follow the instructions above. The form, filed in by all the account holders, should be sent by courier. ICICI Bank Ltd., ICICI Bank Towers, Internet Banking Operations, CLOG - Survey no: 118/27, Plot no:12, Nanakramguda, Serilingampally, Hyderabad -500032 Banking Facility (AI/fields are mandatory to Applicant Name: Mr/Ms/Mrs. ‘Surname First Name Middle Name Mailing Address City: Pin Code Date of Birth : Mother's Maiden Name: Emai 1 Incase of ointaccounts, the applicantisrequired to obtain the attached manclate from the joint account holder(s) 2 ICICI Bank accountholders can obtain the facility of ICICI Bank Mobile Banking only where the made of operation of ICICI Bank account is Single/Either or Survivor/Anyone or Survivor. | wish to subscribe to the Mobile Banking Facility and receive such Mobile Banking Alerts as are displayed on the wabsite /nttpifwwwicicibank.com/pfsuser/channelsimobile/mobile.htm for the Accounts mentioned below. | confirm that | am the sole account holder ‘orl have the required mandate from the joint account holders) to singly operate the accounts, Bank Account Ne. Mobile No. Mode of Operation (tick one) Osingle DJoint CSingle C)Joint EES ater, confirm and undertake that [have read and understood the Terms and Conditions fr usage ofthe Mobile Banking sevice of ICICI Bark Limited and am awere of Charges Applicable forthe Mobile Banking Service as set orth nhitp:Jhwyn ieiibark com/pfeusefchannelalmoblte/mobile hn, andthatl agree on my vn behalor asthe ‘mandate holder on beh ofthe joint scent helder, and wil adhere to all he termsiconalons of opening! spplyingl availing’ maintaining! operating (ee applicable) for {Usage of Mobile Banking service of ICICI Bank Limited as may be inforcefrom time tome. futher authorize ICI Bane Limted te debit my Accounts] toweras any Charges forMbile anking Service, {declare that lhe particulars and information sven inthis appliestion form fad all docume” allrespects and land other joint aecountholaers have net withheld any information. | understand that certain p {guidelines governing banking companies. agree andundoraketo provide any further information tetICICI Bank dts Group Companies may requ agree and understand tht ICICI Bank Lid! Group Companies reserve the right to and understand that CII Bank dite Group Companies resorvotherighttoretan the appieation forms, snd the documents provided therewith, including photographs, and wllnatreturntnesamoto me authorize ICICI Banks Group Companies or their agontto make refrences and enquiries whichCICIBankLtlits Group Companies consider necessary inrespactt or i nereby authorise ICICI ies to exchange, share or pat with al the Information, dato document eating to mylour application o other cic Group Companies! Banks FinanealIneliutons! Creat Bureaus! Agencies! Stautory Bodos/sueh ‘thor persons as ICI Bank Lids Group Companies ay deem necessary or appropriate as may be require for use or processing ofthe saa informationiata by such 1 or umishing ofthe processed iformationidatalpreduets thereof to ether Sanks/FinancilInsttulonsleredtproviersiusers roqistered with such persons and sh ‘otholdICICi nk ts Group companies lable fr use ofthis infration. and understand that have fo complet futher applications for spect ability produetsservces from CIC Bank Lait Group Companies, as prescribed from time to uh further applieatons shal be regerde as an integral par his application land viee versal, and that unless otherwise esclosed in sueh further forms a6 prescribed, the particulars and information setforth herein as wel a the documents refered or provide herewith ae tut {ree andunderstand that such further apaieatons wilrequtelneorparation ofthe application frm number, andlor sueh ‘management Pace Da {SoleiFirst Hole) (ene ee Se Te, ICICIBank Limited, DearSir, We, {All Account holders other than the frst holder) the ‘undersigned, amare the joint account holders) of Bank Account No| (The ‘said accountis?) ‘openedestablished with ICICI Bank Limited (ICICI Bank’ along with fname of the first holder). \We hereby authori the first holder to avail Mobile Banking Sorvie fer the sald accounts for and on my/our halt (name of We attr, confirm and undertake thatliwe have read and understood the Terms and Conditions for usage of the Mobile Banking service of ICICIBank Limited, ‘2 displayed on the website www iccibank.com, and that Vwe age We hereby state that should Vwe wishte revoke the above authorisation, lie shall duly issue alettr of evocation (‘the revocation later} 10 ICICI Bankinthis +agard. We hereby agree that untilten days after receipt of such revocation letter, the authorisation as aferestated shall hold good. Yours‘aithtully, Name: Name: Signature ‘aecond horde] . Whirdhoider)

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