Delivry Channel Services Application Form PDF Details

Are you looking for a new delivery service? Do you need to find a way to get your products to your customers faster and more efficiently? If so, then you may want to consider using a delivery channel services application form. Delivery channel services can help you connect with local and national delivery companies, making it easy for you to find the right service for your needs. Plus, using an application form makes the process quick and easy, so you can get started today!

QuestionAnswer
Form NameDelivry Channel Services Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names2008, htm, delivery service form, https

Form Preview Example

https://www.centralbank.net.in/jsp/Register.htm

 

APPLICATION FORM for Delivery Channel Services

TO:

For Office use only

The Branch Manager

Application Branch Sl.No.:

Central Bank of India

 

_____________________

Date:

I / we wish to apply as an end user to Internet / Mobile / Tele Banking services offered by you (Strikeout whichever is not applicable). The terms and conditions mentioned by the Bank over their official website are acceptable to me/us.

 

First Name

Middle Name

Surname

Applicant’s Name:

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

Pin:

Date of Birth :( DD-MM-YY)

PAN Number*

 

 

Telephone

(O):

Mobile No:

 

 

 

(R):

E-mail ID:

 

 

 

Operation Condition*

 

Own Account / EOS/FOS/HUF

 

 

EOS- Either or Survivor, FOS-Former or Survivor, HUF- Hindu Undivided Family

My Account

Account No

 

Specify the mode

Details:

 

 

of Operation

SAVINGS A/C

CURRENT A/C

CC/OD

TIME DEPOSITS

OTHERS

In case of joint account(s), the delivery channel services shall be provided only to owned and either or survivor type only.

I. INTERNET BANKING FACILITIES REQUIRED: YES / NO

(Tick whichever is applicable)

II. MOBILE BANKING FACILITIES REQUIRED: YES / NO

(Tick whichever is applicable)

(Bank shall intimate the customer about the new facilities offered through their website). Mobile Number to which alerts need to be sent: ______________________________________

E-mail Id to which the alerts need to be sent: __________________________________________

III.TELE BANKING FACILITIES REQUIRED: YES / NO (Tick whichever is applicable)

General Conditions:

1.The Joint Account holder(s) desirous of using the delivery channel services shall submit a separate application form.

2.In case of joint account(s), the delivery channel services shall be provided only to owned and either or survivor type only.

3.Bank reserves the right to offer/discontinue the service(s) selected herein without any further notice.

4.Initially, Bank is providing following services through Internet Banking – Account Statement, Balance Enquiry, Cheque enquiry, Demat enquiry and Fund Transfers.

Declaration:

I declare that I have read and understood the document containing the “Terms & Conditions” and “disclaimer” governing Central

https://www.centralbank.net.in/jsp/Register.htm (1 of 2)04/03/2008 4:36:51 PM

https://www.centralbank.net.in/jsp/Register.htm

Bank of India’s Internet & Mobile Banking Services as provided in the Bank’s Internet Banking W ebsite – https://www.centralbank. net.in / www.centralbankofindia.co.in and I accept the same. Further, I also agree that the transactions and requests executed in the above mentioned accounts through ‘Internet, Mobile and Tele Banking under my User ID and Password will be legally binding on me and I am responsible for maintenance of secrecy and confidentiality of the information passed on to me by the Bank through Internet/ Mobile/Email/Telephone. I have the mandate from the other joint holders to view/inquire/operate the joint accounts mentioned above.

Date:

APPLICANT’S SIGNATURE

FOR OFFICE USE ONLY

Customer ID ___________________

Signatures, account no. and names of the applicant/s verified and found as per Bank’s records. Required services are enabled in Bancs-24 & e-Bankworks module. Recommended and Permitted for providing Internet/ Mobile/Tele Banking services. Mode of Operation declared herein the application is tallying with the existing records of Bank.

Date:Branch Stamp Signature of Officer (Index No) Signature of Branch in-charge

Acknowledgement received from the

Signature of the customer verified and Account

 

Activated

Customer on _________________

 

 

Date:

 

Signature of Officer

https://www.centralbank.net.in/jsp/Register.htm (2 of 2)04/03/2008 4:36:51 PM

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