Baroda U.F.

Bank
RequesttD I I I I I I I I I DateReceiv&l I | | I it
"Finacle" user creation / Modification Request (ucMR) Form
This form is to be used when requesting for new user creation or modifying existing
user access permissions to Finacle
CBS application provided by the bank.
.

E Create New User

wlt trl
E Modify Existing User ffit '

E Reset Password
ffiltttri
E Delete Existing User ffi
Give Temporary Powers f From ro I I I 'i I I I I i

Temporary Designation

Temporarily Disable User I From lrt ll To LI ll

Reason for Modification / :
Deletion / Disabling of User

Employee Personal Details

ECNumber CurrentUsertD(incaseofexistinguser) i I i I I I ] I

Name I tl it=ttilt
First
i l.lttltll
Middle
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Last
Designation

Retirement Date ttt I Head Cashier (Y/N) f]

Employee Declaration

I hereby declare that I am responsible for all transactions and activities carried out using my user-id and password.

Further, I declare that I would ensure confidentiality of data related to all customers and applications.

I would use the workstation.or any other lT-appliance. solely for the purpose of discharging my
official responsibilities and
would abide by the lT Security policy of the Bank, as devised ano pubtisheo by the Ban[fr5m time to tirne.

Employee Name

Date : tltlri ltr

Place :
Signature

Fonararding

I and recommend this reguest form and declare that the above, signatory requires access to the
-hereby,forwarQ
aforementioned applications.

Fonruarding Branch Head's Name

Date ll lt II Signature

Place EC Number Specimen Signature No