Date:

To
The Branch Manager
Union Bank of India.
___________________________

Reg.: Internet Banking - Addition of accounts

I am an Internet Banking User with User ID

My Customer ID is

Please provide Internet Banking facility to my following accounts also -

Account Number (15 digit number)

Branch Name Sr. No. Account Number (15 digit Number)

The accounts are in my name and I am eligible to operate accounts, being an authorised
signatory.

Signature: _____________________________ (Joint Signatures in case of E or S Accounts)

Name/s: _____________________________ Phone: _____________________
Address: _____________________________ E-mail: _____________________
_____________________________
_____________________________

Addition of the Accounts to the User ID mentioned above is recommended:

Branch Manager Name: -
P.A. No.: -
Signature: -

*You can download and submit the filled request-form to the Branch where you have registered
for Internet Banking.