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    Internet Banking View Only

    Uploaded by

    dsouzaunknowndevilroy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Internet Banking View Only

    Uploaded by

    dsouzaunknowndevilroy
    7 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views2 pages

    Internet Banking View Only

    Uploaded by

    dsouzaunknowndevilroy

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FOR INTERNET BANKING (View only)

    All fields with * are mandatory

    Name of the Applicant :


    Mr./Mrs./Ms.

    (Surname)* (First Name)* (Middle Name)*


    Address:

    City*: Pin Code

    Email Address*:

    Phone No. Mobile No*.

    Date of Birth*: PAN No*.


    xxxx
    Account Details*:

    Sr. Mode of For Office Use only


    Account Number Branch
    No. Operation Branch Code Customer ID

    INTERNET BANKING:
    I / We want to apply for CITIZENCREDIT Co-op. Bank’s Internet Banking. Please link my accounts given above.

    My Internet Banking User ID is , please link my other accounts given above.


    Letter of Mandate for Internet Banking (Applicable for Joint Accounts only)

    I/We
    (All account holders other than the applicant)

    Undersigned, am/are the joint holder(s) of Account Number

    along with
    (Name of the applicant)
    I/We authorize
    (Name of the applicant)
    to access / view the said account(s) for and on my / our behalf.
    I/We affirm, confirm and undertake that I / We have read and understood the Terms and Conditions for usage of the
    Internet banking,(View only) services offered by CITIZENCREDIT Co-op. Bank as displayed on the website
    www.citizencreditbank.com, and I / We agree to abide by them.

    Yours faithfully,

    Signature :
    (applicant) (joint holder) (joint holder) (joint holder)
    Declaration:
    I affirm, confirm and undertake that I have read and understood the Terms and Conditions for usage of the Internet Banking
    service of CITIZENCREDIT Co-op. Bank and I am aware of charges applicable as set forth in www.citizencreditbank.com and
    that I agree on my own behalf, or as the mandate holder on behalf of the joint account holders and will adhere to all Terms and
    Conditions of opening / applying / availing / maintaining / operating (as applicable) for usage of Internet Banking (View only) of
    CITIZENCREDIT Co-op. Bank as may be in force from time to time.

    I declare that all particulars and information given in this application form (and all documents referred or provided there with)
    are true, correct, complete and up-to-date in all respects and I and other joint account holders have not withheld any information.
    I understand that certain particulars given by me or required by the operational guideline governing banking companies. I agree
    and undertake to provide any further information that CITIZENCREDIT Co-op. Bank may require.

    I agree and understand that CITIZENCREDIT Co-op. Bank reserves the right to reject any application without providing any
    reason. I agree and understand that CITIZENCREDIT Co-op. Bank reserves the right to retain the application form and the
    documents provided therewith and will not return the same to me.

    Date : Applicants’ Signature:

    Place :

    FOR OFFICE USE ONLY (To be certified by branch only)


    The details mentioned in the application form including signature of the customer and mode of operation of the
    account/s is/are verified and found correct. The KYC norms are also adhered to while opening the account.

    Date : Signature of the Branch Manager


    Branch
    Seal
    Place : Emp. No:

    Name & Designation

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