The Branch Manager

Bank of Baroda
___________________
______________________

Ghana Re: Request for linking new accounts

I/We am/are an existing Baroda Connect User/s as per details given below:

Sr Existing Account Number (14 digit number)

No

In addition to my/our existing account/s, I/We request you to link my/our below mentioned accounts for Baroda Connect.

Sr New Account Number (14 digit number) to be linked

No

User Name (Mr. /Mrs.): _____________________________________________________________

Title (For Corporate only) M/s.________________________________________________________

Address: _________________________________________________________________________

_________________________________________________________________________

Phone : ______________________ E-mail:_________________________________________

The above mentioned account/s are in my/our name and I/We am/are eligible to operate accounts,
being an authorized signatory.

Date : Signature :

Note: Please Print and submit the filled request-form to the Branch where you have registered with existing user id

(For Use at Branch)

We confirm having verified the above signatures and We recommend linking of the above-mentioned
recommend granting of internet banking facility of accounts.
Baroda Connect.

Signature of Relationship Manager: Signature of Branch Manager:

Name: Name:
Signature Number: Signature Number:
Date: Date:

We confirm having linked the accounts as mentioned above.

Signature of Branch Initiator Approver
Administrator
Name
Date