You are on page 1of 1

                                                                                                        

     
   

MOBILE BANKING: INDEMNITY FORM

Branch:……………………………… Date:……/………/…………….

We……………………………………………….and………………………………………... joint account holders of

account number(s) (i)…………………………………………………

(ii)…………………………………………………

(iii)…………………………………………………

do hereby authorize the Bank to link the above mentioned account(s) to the following phone number -

…………………………………………………..

We further agree that we will indemnify the Bank against any loss incurred as a result of any transactions to and from

our account(s) using the mobile banking service referred to herein.

Name of Signatory 1:………………………………… Name of Signatory 2:…………………………………………

Signature:………………………………………….. Signature:…………………………………………………….

You might also like