UGB INTERNET BANKING APPLICATION FORM

To,
The Branch Manager
UGB _ _ _ _ _ _ _ _ _ _
Dear Madam/Sir,
I/We request you to register my/our application form for UGB Internet Banking (INB) facility & link Customer
ID. My/Our personal details are as under -
PLEASE TICK > PERSONAL CORPORATE

Personal customer Corporate customer

CUSTOMER’S NAME CUSTOMER’S
NAME

Date Of Birth Name of Proprietor

CUSTOMER ID (CIF CUSTOMER ID
No.)* (CIF No.)*
* (If you are not aware of your Customer ID, please enquire from your base branch.)
MOBILE NUMBER_______ _ _ _ _ _ _ _ _ _ _ E-MAIL ID _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

DETAILS OF EXISTING ACCOUNTS TO BE LINKED FOR INTERNET BANKING * (Please tick at applicable column.)
ACCOUNT NUMBER MODE OF OPERATION NAME OF Jt. A/c HOLDER VIEW RIGHTS * TRANSACTION RIGHTS *

1. -------------------- ---------------------- -----------------------------

If space is insufficient, please attach additional sheet.
Please note that Mode of Operation rights on the UGB Internet Banking service will be same as that in account at the branch.
Internet Banking facility is provided only in those accounts where the mode of operation is one of the following –FOR
PERSONAL USER’S- (1) Self, (2) Either or Survivor, Each signatory to an account requiring access to UGB Internet
Banking service must have a separate User ID and PIN & therefore a separate form must be used for applying for these services
by each signatory to an account. EOR CORPORATE USER’S-Proprietorship concern ONLY. For accounts having Mode
of Operation as JOINTLY, INB services are not available. For expeditious registration, please ensure that all information
given in the form is complete & correct.
Declaration:
I/We affirm, confirm and undertake that I/We have read and understood the contents of ―Terms & Conditions‖ for usage
of UGB INB service overleaf hereto. Further, I/we unconditionally accept and agree to abide by the same and such other
modifications made by UGB from time to time. I/we are aware of the contents of the terms & conditions and that all
my/our rights and liabilities would be governed by the said terms and conditions by my/our act of accessing
https://www.cedgeinb.in/OnlineUGB I/we agree that the enquiry/transactions executed over Internet Banking facility
under my/our Username & Password will be binding on me/us. I/We thereby agree to be subject to and comply with all
the provisions of the terms and conditions which are incorporated by reference herein and deemed to be part of this
application form to the same extent as if such provisions had been set forth in full herein. I/We declare that all the
particulars and information given in this form are true, correct, complete and up-to-date in all respects and I/We have not
withheld any information. I/We agree and undertake to provide any further information that UGB may require. I agree
and understand that UGB reserves the right to reject any application or block or withdraw the UGB INB services – to any
or all account(s) without assigning any reason. I/We authorize UGB to make references and enquiries which UGB
consider in respect of or in relation to information in this application/further application

Date: _ _ /_ _/_ _ _

Customer‘s Signature

FOR BRANCH OFFICE USE ONLY

Branch Confirmation:
We confirm that
 Application form received on –
1. The customer‘s particulars and details given above are
correct and the same are recorded in CBS also;  Customer details sent to HO through branch e-mail
2. We have verified the signatures of the customer as
appended above; id on………………..
3. We have verified details as given above by customer
accompanied with necessary KYC documents, if there is a Details of password issued to INB customer
change in previous details in CBS & new details.
Resolution (wherever applicable) is obtained and kept on  Login password Reference No—
record.
Therefore, We recommend for granting UGB INB facility to the  Transaction password Reference No---
applicant.
 INB Facility activated on—

Sign. Of Branch Manager:

EC No.: Authorized Signatory
Branch Stamp: Date:
Place:
 Terms & Conditions of service: UGB INTERNET BANKING
General Information:
1. You should register for ‗UGB Internet Banking‘ with the branch where you maintain the account.
2. If you maintain accounts at more than one branch, with different CIF; you need to link CIF at each branch
separately.
3. Normally ‗UGB Internet Banking‘ services will be open to the customer only after he acknowledges the
receipt of password.
4. We invite you to visit your account on the site frequently for transacting business or viewing account
balances. If you believe that any information relating to your account has a discrepancy, please bring it to the
notice of the branch by e-mail or letter.
5. In a joint account, all account holders are entitled to register, as users of ‗UGB Internet Banking‘ but
transaction would be permitted based on the account operation rights recorded at the branch.
6. All accounts at the branch whether or not listed in the registration form, will be available on the ‗UGB
Internet Banking‘. However, the applicant has the option to selectively view the accounts on the ‗UGB Internet
Banking‘‘.
Security:
1. The Branch where the customer maintains his account, will assign:
a) User ID & Password
2. The Password given by the branch must be replaced by Password of customer‘s choice at the time of first
log-on. This is mandatory.
3. Bank will make reasonable use of available technology to ensure security and to prevent unauthorized access
to any of these services.
4. You are welcome to access ‗UGB Internet Banking‘ from anywhere anytime. However, as a matter of
precaution, customers may avoid using PCs with public access.
5. There is no way to retrieve a password from the system. Therefore if a customer fills wrong password three
consecutive times & it is locked or forgets his password he must approach the branch for re-registration.
Bank’s terms:
1. All requests received from customers are logged for backend fulfillment and are effective from the time they
are recorded at the bank.
2. Rules and regulations applicable to normal banking transactions (Non financial & Financial) in India will be
applicable for the transactions executed through this site.
3. The OnlineUGB service cannot be claimed as a right. The bank may also convert this into a discretionary
service anytime.
4. Dispute between the customer and the Bank in this service is subject to the jurisdiction of the courts in the
Republic of India and governed by the laws prevailing in India.
5. The Bank reserves the right to modify the services offered or the Terms of service of ‗OnlineUGB‘. The
changes will be notified to the customers through a notification on the Site www.uttarakhandgraminbank.com.
Bank may introduce charges/taxes in future for availing of INB services through UGB.
Customer’s obligations:
1. The customer has an obligation to maintain secrecy in regard to Username & Password registered with the
Bank. The bank presupposes that login using valid Username and Password is a valid session initiated by none
other than the customer.
2. Transaction executed through a valid session will be construed by UGB to have emanated from the registered
customer and will be binding on him /her.
3. The customer will not attempt or permit others to attempt accessing the ‗OnlineUGB‘ through any unlawful
means.
Do’s & Dont’s:
1. The customer should keep his/her ID and password strictly confidential and should not divulge the same to
any other person. Any loss sustained by the customer due to non-compliance of this condition will be at his/her
own risk and responsibility and the Bank will not be liable for the same in any manner.
2. The customer is free to choose a password of his own for OnlineUGB services. As a precaution a password
that is in generic nature, guessable or inferable personal data such as name, address, telephone member, driving
license, date of birth etc. is best avoided. Similarly it is a good practice to commit the password to memory
rather than writing it down somewhere.
3. It may not be safe to leave the computer unattended during a valid session. This might give access to your
account information to others.
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