STATE BANK OF INDIA

Mobile Banking Service

Registration Form
The Branch Manager
Date :30-12-2016
State Bank of India
Sl. No.:
------------BAR--------------

I wish to register/ deregister for Mobile Banking Services of SBI offered under State Bank FreedoM.
I submit the information required for the purpose as under:
Name of Customer (Maximum 20 Characters and leave a box blank after each name)

J
O
S
H
I

P
R
A
T
A
P

C
H
A
N
D

(Surname)

First Name)

(Middle Name)

Email id:

Prtpjoshi13@gmail.com

Date of Birth:
31

12
93

User ID

My Mobile Number:

DD
MM YY

8
9

2
0
9
4
4
0

Primary Account number

3
0
9

9
4

7
8
7

Single/Joint# Accounts

Other Account Numbers

Single/Joint # Accounts

Add/ Delete

3
0
9
2
9
4
7
6
7
8
7

I have read the terms and conditions prescribed by the Bank for offering Mobile Banking Services to its

customers and unconditionally accept them. I am also aware that Bank is entitled to modify the terms
and conditions without any notice and posting them on the Banks website would constitute appropriate
notice. I agree that the transactions executed while using Mobile Banking Services under my User ID
and MPIN will be binding on me/ all the joint account holders.
PRATAP CHAND JOSHI..
Date: 30-12-2016 Signature of the account holder(s)
(* Please choose the option) (# Rights on the State Bank FreedoM Service will be same as that in
your account at the Branch. Accounts which are operated by all or some of the account holders jointly
will not be enabled for mobile banking services.)
FOR OFFICE USE ONLY
Verified the details of the account holder from the record and found correct. The applicant is permitted
to subscribe to Mobile Banking Service offered by the Bank.

Date:

Authorised Official

Above details uploaded for enabling the account(s) for Mobile Banking Service requested by the
customer
Date:

Entry made by Authorised Official