Mobile Banking Form
Mobile Banking Form
09 July 2021
Date: ...................................
The Manager
Rastriya Banijya Bank Limited
_______________________ Branch
Baneshwor
I/We hereby request RASTRIYA BANIJYA BANK to register my/our bank account and mobile numbers mentioned
below for Mobile Banking facility
Personal Information
Applicant’s Name:
__________________________________________________________________________________________
SANJIV KUMAR GUPTA
Address:
BUDHANILKANTHA -5, KATHMANDU, NEPAL
_________________________________________________________________________________________________
9849032584, 9801205729
Mobile No: _________________________________ Email: ____________________________________
[email protected]
Account Details
Details of other accounts, if the service is intended for other accounts as well
Please select Mobile Banking features you desire to register (cross the not desired one)
Transaction alerts
Inquiry (Balance, Mini statement), Request (cheque book, statement, stop cheque)
Financial transaction (Utility bill payments, Topups/Recharge, Merchant Payments, Fund Transfer to accounts
(predefined or any) within the bank/Inter member bank and more)
For
fund Transfer to Predefined accounts only, please specify (up to five) accounts:
4. ____________________________ 5. ___________________________
I have read and understood the terms and conditions listed back and agree to abide them.
____________________________
Signature of the Account Holder(s)
FOR BANK’S USE ONLY