1.4 4/Pan No.

:
2. grgfaa errda /Driving Lic. No. :
3. r q4/Blood Group:
4. aurr Rerft w a »l /In case of emergency Contact
7HNanme
t a afv rster Bank of Baroda
/ T e l . No.
41/Mobile No.
5.f e d a/Credit Card No.
. 2ae aTd ./Debit Card No.

Insurance Policy No./ Valid upto:

qTerte /Passport No.: Branch Address DHAM RA, TE
. m/E-mail address VILL AND P0-DRAMORA
0. e a /Nomination /Name of Nominees
qatit zTG/Useful Tips Pin: 244901
T a7 aty a/Utilise nomination facility.
g a1 Aufha s à aua rar/Get pass book updated
email dhanor 9hankofbaroda.com
regularly. Tel 228127 Fax
a a ea gi vrh agen ant B /Issue standing instructions Customer ID NUBO67022
wherever possible.
9TE d avd vIER /Do not put signature anywhere Account No 14050100015803
on passbook
Scheme Desc BAROBA ADVANTAGE SB 6S
A/c Holde MISS VINA DEVE
T/Do not fold the pass book, if a pass book is lost orspoiled, a Occupation STUDENT
duplicate passbook will be given with latest balance after payment of
stipulated charges. Operation Hode SELF
a y Td ai taTa di/We welcome your suggestions.
Comm Address C/O HOOL CHAND
branch manager in case of difficulties. GRAN AINCHORA BOST KBIMCHA MILAK
For contact details of Banking Ombudsman of your jurisdiction, please RAMPUR VISLAGE
visit http : //l www.bankofbaroda.co.in/nodairedress.asp
Principal Nodal Officer: UTTAR PRADESH: 243701
General Manager (08S) Noninee Added YES
Bank of Baroda, Head Office, Suraj Plaza-, 6th floor, Sayajigunj, Baroda ITET AET5/ BRANCH MANAGER
(Gujarat),. India, Pin-390 005
Tel.: (0265) 2307802, E-mail:
NonineeNane
gm.ops.ho@bankofbaroda.com Alc Open Date 14-10-2019