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CUSTOMER INFORMATION
| Name:
_____________________________New User [ ] Existing User
Modification [ ] |
| Address:
_______________________________________________________ |
| City:
__________________________ State: ____________ Zip:
____________ |
Primary Contact for Account(s):
Email Address: _____________________________
REQUESTED SERVICES
[ ] Account Access: View ( ) Transactions ( )
ACCOUNT INFORMATION
| Account #
Account Description
(/Account Title)
Type |
| 1. _______________
(P)_________________________________ ____________ |
| 2. _______________
_________________________________ ____________ |
| 3. _______________
_________________________________ ____________ |
| 4. _______________
_________________________________ ____________ |
| 5. _______________
_________________________________ ____________ |
| 6. _______________
_________________________________ ____________ |
| 7. _______________
_________________________________ ____________ |
(P) Indicates Primary Checking
Account from which charges you incur will be debited.
Account type: CH = Checking
MMA= Money Market SAV= Savings RLOC= Revolving Line of Credit
IL= Installment Loan
USER INFORMATION (Required to activate your account)
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User Name |
Account # (S) |
| List all
users you authorize to utilize ONLINE BANKING |
ALL is appropriate if
you will have FULL privileges on ALL accounts. |
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All account owners or authorized signers must sign below.
I/We understand that submission of this form only constitutes application for enrolment in the Services. I/We have read the “State Bank of India (California) Consumer Online Banking Agreement and Disclosure” and “e-sign Disclosure Statement” on Internet Banking Service and the terms are acceptable to me/us. I/We understand that the Bank may, at its sole discretion, request for additional documentation from me/us to complete this enrolment process.
SIGNATURES: By signing below, I/We authorize THE BANK to issue a temporary (login and/or transaction) passwords on my/our behalf which I/We will be forced to change to a private passwords the first time I/We log in to the system. We also authorize the Bank to send the OTP scratch card at the above address.
| ________________ _______
________________ _______ |
| Signature
Date
Signature
Date |
| ________________ _______
________________ _______ |
| Signature
Date
Signature
Date |
| ________________ _______
________________ _______ |
| Signature
Date
Signature
Date |
USER INFORMATION (To Be Completed by Bank)
CUSTOMER INFORMATION
[ ] New Date:
_______________________________________________________
[ ] Existing since:
Date
______________________________________________________________
Officer:_____________________________________________________________
Branch:_____________________________________________________________
Cust
ID : __________________________________________________________
Received by:
_____________________________ Date:_____________________________
Processed by: ___________________________
Date:_____________________________
Verified by _______________________________
Date:_____________________________
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For Corporations, Click Here
For Partnerships, Click Here |
