STATE BANK OF INDIA INTERNET BANKING" Online SBI” Registration Form for Duplicate Sign on password (In case you maintain accounts with more than one INB branch and have linked those user names, kindly submit the form only to the branch selected by you on Internet Banking while making the request ) To ‘The Branch Manager ‘State Bank of India Specialized NRI Branch, Lucknow pate -22]09 120) Lam a registered USER of your Internet Banking Service ~ "OnlineSBI" for my / our following Account (s) at your branch, L Applicant's Name : (Max. 25 characters) (GIAIGIAIN] Twlaqets] TTT ET TET Pt rit ty IL. Savings A/C numbers (Mention 11 digit A/c No. as mentioned in your Pass Book / Statement of A/C) cee et Mm. Address for dispatch | EENS MEDICAL — BREE Sacktes Enkewan WANPue PAD LALO) IDLIOLIATL ‘Country TDA Sanne | [oateofanh = __ degaganwohie arnvai): Com 005) AU\SO21394 ali jobile 1 confirm having read and understood the document containing the "Terms of Service (Terms & Conditions) " ‘governing the SBI's Internet Banking and I accept the same. I further agree that the transactions executed over ‘OnlineSBI in above-mentioned accounts under my User name and Password will be legally binding on me. T have forgotten the sign on password and I request you to reissue the same. ‘Signature of the Applicant Gogaquel FOR OFFICE USE ‘Signature Verified by the Authorized Officer: Yes{} JNO} Issued INB Kit no ‘ INB Kit issue date Signature of Authorized Officer