Bank Of Baroda Atm Card Form PDF Details

The Bank of Baroda International Debit Card application form serves as a comprehensive document allowing account holders to apply for a debit card that can be used internationally. It initiates with a request for the issuance of the card and includes various sections such as personal and account details, linking options for the savings account, and authorization for debit card issuance. Applicants are required to confirm their mandate to operate the linked account singly and acknowledge the deactivation of any existing standalone ATM card upon the new card's issuance. The form also mandates annual authorization for debit card fees or charges, necessitating detailed inputs like name, date of birth, gender, and preferred address for delivery of the debit card and PIN mailer. Critical to the process is a declaration by the applicants, confirming their understanding and acceptance of the terms and conditions associated with the debit card usage, including obligations under the Foreign Exchange Management Act, 1999. This portion culminates in the signatures of the applicant and, if applicable, joint account holders, alongside the verification and eligibility confirmation by the bank officer, establishing a legal and operational framework for the issuance and usage of the Bank of Baroda International Debit Card.

QuestionAnswer
Form NameBank Of Baroda Atm Card Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbank of baroda debit card form, bank of baroda atm card apply online, bank of baroda atm apply, bank of baroda debit card apply

Form Preview Example

Application form for BANK OF BARODA INTERNATIONAL DEBIT CARD

I wish to apply for Bank of Baroda International Debit Card.

Name of the Branch

My/Our Account Type

Account Number

I have an ATM card no. (leave blank if not applicable)

issued to me

and linked to the account. I would like to link our savings account to the debit card also. I confirm that I have the required mandate to operate the account singly. I/We authorize Bank Of Baroda to issue a Debit cum ATM card to me/us

I/We understand that upon issue of a debit card to me/us, the existing ATM card of Bank of Baroda’s standalone ATM if any, may be deactivated. I/We further unconditionally and irrevocably authorize you my/our account annually for Debit Card fees/Charges.

The particulars are as under:

1. Name

Date of Birth

Name as required on card

Gender MALE FEMALE

(Not to exceed 20 characters) (No Nicknames) (Please leave one blank space in between each name)

2.Residential Address

City

Pin Code

3.Office Address

City

Tel. No(O)

Mobile No.

Pin Code

(R)

E-Mail

4. PREFEERED ADDRESS FOR DELIEVERING DEBIT CARD/PIN MAILER :

OFFICE

RESIDENCE

DECLARATION/DEBIT CARD UNDERTAKING

 

 

I/We have received, read and understood the terms and conditions governing the usage of the Debit Card . I/We accept to be bound by the said terms and conditions and to any changes made therein from time to time by the Bank at its sole discretion without any notice to me/us. I confirm that i am the sole account holder or have the required mandate to operate the account linked to the Debit Card singly and that I/We have completed 18 years of age. I/We understand that upon issue of Debit Card to me/us, the existing ATM card of Bank of Baroda’s standalone ATM linked to my/our account will be deactivated.

I/we understand and undertake that the usage of the Debit Card shall be strictly in accordance with the Exchange Control regulations and in the event of any failure to do so, I/We will be liable for action under the Foreign Exchange Management Act, 1999 and the amendments thereof stipulated by Reserve Bank of India from time to time.

I/We accept full responsibility for my/our Debit Card and agree not to make any claims against Bank Of Baroda in respect thereto.

Date :

(Applicant’s Signature)

(Other Account Holder/s Signature)

 

 

(In case of joint account holders, all account holders shall put their signatures)

 

 

Branch Code :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For use in Branch

Name of the Officer

Signature

Signature verified by

Eligibility verified by

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Filling in segment 1 in bank of baroda atm card application form

2. After the last section is completed, you need to put in the necessary particulars in City, Office Address, City, Tel NoO, Pin Code, Pin Code, Mobile No EMail, PREFEERED ADDRESS FOR DELIEVERING, DECLARATIONDEBIT CARD UNDERTAKING, IWe have received read and, Iwe understand and undertake that, IWe accept full responsibility for, Applicants Signature Date For use, In case of joint account holders, and Other Account Holders Signature in order to proceed to the 3rd stage.

Step number 2 for submitting bank of baroda atm card application form

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Applicants Signature Date For use, Eligibility verified by, and Signature verified by in bank of baroda atm card application form

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