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ATM

This document is an application form for an SBI ATM Card, requiring the applicant to fill out personal information in capital letters and follow specific instructions. It includes sections for the applicant's name, address, contact details, account information, and a declaration of understanding the terms and conditions. Joint account holders must submit separate applications, and the form must be signed by the applicant.

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swaraj2006kumar
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Download as PDF, TXT or read online on Scribd
212 views

ATM

This document is an application form for an SBI ATM Card, requiring the applicant to fill out personal information in capital letters and follow specific instructions. It includes sections for the applicant's name, address, contact details, account information, and a declaration of understanding the terms and conditions. Joint account holders must submit separate applications, and the form must be signed by the applicant.

Uploaded by

swaraj2006kumar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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SBI CASH STATE BANK OF INDIA

APPLICATION FORM FOR ATM CARDS

Thank you for applying for the SBI ATM Card, To help Us process your request quickly, please fill this form as per the
instructions below. If you have any questions, please check with your Branch Manager. We are committed to make
your life simpler with the SBI ATM Card.
IMPORTANT INSTRUCTIONS Leave one box space between each word.
Please fill the entire form in CAPITAL LETTERS only. (Example)
Complete all sections.
Do not write outside the provided boxes. DA V|D PAUL
Joint alc. to be either or survivor/anyone or survivor
Sign the declaration
Joint account holders to fill separate application forms.
(
Name:$aRAJkUMAR
Male Female

Address for
Correspondence: VI|LL-sITARAMP UR PlolsT-AMRA
PS-MA NIYARI
Town / City |MU2AFFARPR
State B|IHAR Pin Code843119
Telephone 2nd Telephone / Mobile Phone Number:

e-mail: SWaraj 2006 Kumar mall.Com Fax :


My account/s onwhich l require ATM services
Primary Account Savings OR Current Branch
Choose one account type of primary and
another account type (if necessary) for
Secondary Account Savings OR Current Secondary account.

Saving Alc. No. 3652169o552


Current Alc. No.

Declaration.. Iam aware of the Terms and Conditions (overleaf) governing the use of the ATM card and agree to abide
by them. The Bank may call me at my Residence / Office in connection with myATM transactions.

Swaraj Kumar
For Office Use Only (Applicant's Signature)

Mode of Operation SINGLE E or S For S |Anyone or S


NETWORKED ATM Application Sr. No.
ATM Branch Code Old ATM Card No.
Issue Card Yes / No New ATM Card No.
Card lssuing Branch Code
lssue Card Yes/No

(Br. Mgr's Signature & Stamp)

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