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Annexure-1 Application serial No. Application Form for Linking of Account (s) to Username ‘The Branch Manager Date: State Bank of India Place: Branch Dear Sir, Sub: Linking of Account(s) to Username \We have internet banking access with the following user name (s): 2. This internet banking access was given to me/us on the following primary account number (Please mention 11 digit A/c No. as mentioned in your Pass Book / Statement of Account) : which is held in the following name(s) and the mode of operation is[ _] Single or[ ] Either or Survivor or { ] Anyone or Survivor. 3. We request that the Public Provident Fund account or Loan account held in my/our name may please be linked to the above username so that the account(s) may be viewed and operated upon by login through the username mentioned above SI.No. | Account Type (PPF/Loan a/c) | Name of Account Holder(s) | Account No. 4, We are aware that in case of accounts held jointly, this facility is available only if the mode of operation of the account is Either or Survivor or Anyone or Survivor. Yours faithfully, Name and Signature of 1* Account holder FOR OFFICE USE Application Serial Number: Name and Signature of 2" Account holder Name and Signature of 3" Account holder Username ‘Account Number CIF No. Verified that the PPF accounts and/or Loan accounts proposed to be linked belong to the user (s) Linking of PPF/Loan Accounts permitted DATE: SIGNATURE OF INB OFFICER

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