MOBILE BANKING APPLICATION
The Branch Manager State Bank of India
Date : Sl. No.:
-------------------------* I wish to register/ deregister for Mobile Banking Services of SBI offered under “SBI FreedoM”. I submit the information required for the purpose as under: Name of Customer (Maximum 20 Characters and leave a box blank after each name) (Surname) Email id:
First Name)
(Middle Name)
Date
of Birth: DD
MM
YY
My Mobile Number: Primary /Main Account number Other Account Numbers
Single/Joint# Accounts Single/Joint # Accounts
Add/ Delete
I have read the terms and conditions prescribed by the Bank for offering Mobile Banking Services to its customers and unconditionally accept them. I am also aware that Bank is entitled to modify the terms and conditions without any notice and posting them on the Bank’s website would constitute appropriate notice. I agree that the transactions executed while using mobile banking services under my Username and MPIN will be binding on me/ all the joint account holders.
Date: ……………………… Customer’s Signature (* Please choose the option) (# Rights on the “SBI FreedoM” Service will be same as that in your account at the Branch. Accounts which are operated by all or some of the account holders jointly will not be enabled for mobile banking services.)
FOR OFFICE USE ONLY Verified the details of the account holder from the record and found correct. The applicant is permitted to subscribe to Mobile Banking Services offered by the Bank.
Date:
Authorised Official
Details uploaded upon the Core System for enabling the account(s) for Mobile Banking Services requested by the customer
Date:
Entry made by
Authorised Official