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KUMARI MOBILE BANKING MODIFICATION Form

Date:…………/………./…………….

To,
The Manager,
Kumari Bank Limited,
Birgunj Branch
Sub: RENEWAL/DEVICE RESET/CANCELLATION/NUMBER Change Form/Scheme Change

Dear Sir/Madam,
I request you to make necessary arrangement in:
Device Reset
Modify Mobile Number
Renewal
Cancellation of Mobile Banking Service
Scheme Change/ UNBLOCK GPRS

A/c Holder's Name: ………………………………………


Registered Account Number: ………………………………………
New Mobile Number: ……………………………………..
Registered Branch: ……………………………………..
Existing Scheme: ……………………………………..
Proposed Scheme: ………………………………………

Thanking You

Signature: ……………………………….

For Bank's Use Only

Signature Verified by: ………………………. Approved By: …………………….

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

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