Electronic Banking Application Form
Electronic Banking Application Form
Electronic Banking Application Form
Customer details
Surname
First names
Identity/passport number
Email address
CIF Number
Registration De-registration
I, (full names)
undertake to be held solely responsible for my password issued and therefore it should not be told to anyone under any circumstances.
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Preferred contact times Any time (24 x 7) Extended hours (6am to 10pm) Off ce hours (8am to 5pm)
Default Alerts Scheme (Mandatory) Transactional Alerts Scheme (Mandatory) Value-Added Alerts Scheme
Cash withdrawal alert Send alert to benefciary
Birthday alert Deposit matured alert
Welcome alert
Point-of-sale purchase alert
Benefciary payment alert Deposit maturing (reminder) alert
Add/amend biller (via Internet banking) alert
Add/amend benefciary (via Internet banking) alert
Biller payment alert
Login password expired (Internet banking)
Deposit alert
General/broadcast message alert
Recurring transaction alert
Account opening alert
Mobile Top-Up Failed alert
Dormancy alerts (Inactive and full dormancy)
Future-dated payment alert
Debit card collection alert
PFM Category Threshold
PFM Goal Management Loan Alerts Scheme E-Banking Alerts Scheme
Cheque Alerts Scheme New loan disbursed alert Submit request successful alert
Cheque deposited alert Loan instalment overdue alert Submit request failed alert
Cheque returned alert Loan repayment due alert User enabled alert
Successful loan repayment alert Account opening alert
Service request raised alert
By signing this form, I confrm that the attached terms and conditions have been explained to me and I understand them. I agree to abide by the under-
takings contained in them
*Note: All alerts subscribed for will be sent to these mobile numbers and email addresses as well as your primary mobile number and email address,
as supplied above.
Registration recorded by
Date (YYYY-MM-DD)
Time