OFFICE USE, ‘CUSTOMER COPY Please qute is reoroncs no. for ary ture Commaeaton sting ars Date: paar een aCe CT) acai Banking Channels and Change of Address we understand your wond (Pease te form io BLOCK LETTERS only fds mated" *” ate MANDATORY) "PERSONAL DETAILS (THIS S A MACHINE READAGLE FORM AND WILL PASS THROUGH A SCANNER) Ful Name (Pleas leve one space betwoonwordseg.) AJ AY RAM MISHRA (CUSTOMER ID No. PRIMARY ACCOUNT NO. cor Sr te a et ee Pe DDEBITIATM CARD No. (CHANGE OF ADDRESS : Kray prove oat he new ning eens og ih i enendaty yout sates han 6 mete Atos ned be Imenonymensanedasion een nate how ta chnge nine mang soseseor sng caer) "Yes. wish to ange my meling arose There tno change in my maling adress For esng customers, aos gin blow wilb voted oth apcant mall accounts hald wt th Bank. MAILING ADDRESS ‘company Name Fat No. & Blip, Namo Feat NoName “Landmar/Area sory "PIN Cone state County: Tat. (0) EXT. No. STD Code TF) Mobio No. Emat PERMANENT ADDRESS : emaneetadees etre same oe mating adceae *Company Name Fat No. & Bldg, Namo * Road Nonane “Landmarks soy "PIN Code site Coun: Acsraes Changos raqussted woud be stected int Banks roca by he Genk win a pores of 410 working days rom the sate of reset ate Branen andthe sal hagas weld be ofocivo nth sytem fom that deo ony. Ti'suah mathe Adaese Change aquet = acta he Bar's cess, any {eepatencommunesiony ine Bankunion are erin rane woueantnuetobeGerptenedtothecdadsees PHONEBANKING Yes, wish apply fr Phonefianking YOUR MOTHER'S MAIDEN NAME Slaton havea apy spay for Ponesanteg teas wih Sen Youcan ao r-perestsyoue Toney a NETBANKING os, | wisho apply forNetGarkng “E-mallld etapa raneTOF Benen a nay Cal Ponabaning foray eis complain oan ee ate ‘htc eg) 89) DEBIT CARD Yer, 1 ich ‘osppy for biematonal Dei Cart” CARD LINKING Yas! wish oink my Cora Options, EasyShop Regular EasyShop Gad Others | [ ACCOURENG ar cee [Customer bs Special Card Coa orbank use ony) Aephaba rly for aoc ih opeting inlction as Shier Earny one or Survivor “Anns charges ae sppcbl or Dob Cards INSTAALERTS Yes, |wishto spp or stale, tile No, (Vale on for Mobile numbers in ra) E-mails Type of InstaAlerts ‘Amount Alert Mode (curentSovings Account [Link], Balance Nt (Week) ss: eval 2 Sala Creat Aer ss eal [Link] Ae. Groatrthanspecifodamcunt Rs. 5000 Fe. 10000, s.20000 fe.S0.900 «SMS EMail 4 Grestin Ni, Groterthanspected amount. 5.000 Fs, 10000, s,20000 fs. 80.000 SMS Ea 6. uty Payment De Ao sms Mal ‘on ehoosing Alt Typ 3} you wil automaticaly racve Alas or every shopping Vanscton done using your Debt Card a amachant ut! (Wor-Resder customer are eligto ony for ama ats on choosing stale) MOBILE BANKING Yes, 1 wish apt forMeieBanking CELLULAR NO” DECLARATION havo read andundorstood he Terms an Constions (a copy af whic am in possession of lating to oparing af an account an vaious srvea including butnotlimitedto (2) ATMs (0) PhonsBarking() Debit Cards (f) MabeBankng ) NetBank) ()BilPay Fact (a nstaAert | accept and agree tobe bound by tre sad Terms and Condtions.1 understand that inthe event ot my aveady being regsteredor PhoneBanking/NotBanking, this applcton wilbe ated _asanautnencatequostorrageneraionofmyTPIN/IPIN. agre hathe Bankmay debit my account for erie charges as apple from imeto ime SIGNATURE conte ata eats provides on a fom are coe, FOR BANK USE ONLY ‘eid alte sours peated slo By ite anyone o Sano sourcing Bare Nama Sapte Nee Yr Ass Cg eos Please cat te customers part te ftoaing — Lo cove brograme nn by the bank. (ease fo eee wea HOFCPrtres Slay Aout RagulaAsount please meron brane coe “— m@r