Application No.
-------------------
Branch Name: ---------------------
APPLICATION FORM FOR INTERNET / MOBILE BANKING (FOR CORPORATE)
CUSTOMER ID: *
(If you are not aware of your Customer ID, please enquire from your base branch)
I/We request you to register my/our application for Internet banking facility & link my/our accounts with your branch/other branch
NAME OF THE ACCOUNT / TITLE:____________________________________________________________
ACCOUNT NO.:
DATE OF INCORPORATION / ESTABILISHMENT:
ACTIVITY: ______________________________________________________________________
CONSTITUTION Sole Proprietorship Partnership LLC Trust / Club
Pvt. Ltd. Co. Public Ltd Co. Society Others Pl. Specify:
_______________
I wish to have any of the following CORPORATE-ID* for Internet banking (4 to 8 characters length)
1. ________________________________ 2. ________________________________ 3. ___________________________
* CORPORATE-ID will be allotted to you subject to its availability.
COMMUNICATION ADDRESS:
P. O Box No: Postal code: Place:
Country : Telephone (O): Fax:
Email Address: Mobile No:
Details of any existing accounts to be linked for Internet banking
(In case more number of accounts are to be linked up, separate sheet may be attached)
Branch Name Title of A/c. Account No Customer ID Mode of Operation
(Filled by branch)
I/We would also like to avail mobile banking*: Yes/No
1. __________________________ 2. ____________________________
Mobile Numbers for Mobile Banking 3. __________________________ 4. ____________________________
*Whenever offered by Bank of Baroda
I/We authorize you for creation of our e-banking account administrator for administration of users and Internet banking services to be provided to
me / us. I/We understand that our account administrator will create/manage our Corporate User(s) based on the authority given by us to the Bank.
Details of Account Administrator:
Full Name: ________________________________________ Designation: ____________________________________
Contact Numbers: ___________________ Email: ________________________ Signature: ________________________
Please note:
1. Allocation of User-ID, i.e. access of various accounts to different Users / divisions and maintenance of the same will be done by your Account Administrator. He will also enable
and disable menus for Corporate Users and will create and modify pool of accounts.
2. Change in Limit mapping, designation mapping and hierarchy structure will be defined by the Bank on receiving written request from Account Administrator under signature of
the authorized signatories.
3. Viewing option can be provided to any Corporate User by your Account Administrator. However, for transactional functionalities Annexure-I needs to be submitted with User
wise details.
Declaration: [for Corporate]:
I/We have read the terms and conditions as per annexure II applicable to Bank of Baroda e-Banking Corporate services and agree to them. I/we
am/are aware that the usage of Bank of Baroda e-banking Corporate is governed by the terms and conditions which are displayed on
<https://intl.bobibanking.com> the site maintained by Bank of Baroda and I/we have reviewed the contents of the same. Further, I/we accept the
terms and conditions governing internet banking of Bank of Baroda applicable for bank accounts as displayed on bank/s website. I/we accept and
agree that I/We are aware of the contents of the terms and conditions and that all my/our rights and liabilities would be governed by the said terms
and conditions by my/our act of accessing on <https://intl..bobibanking.com>. I/we thereby agree to be subject to and comply with all the
provisions of the terms and conditions which are incorporated by reference herein and deemed to be part of this application form to the same extent as
if such provisions had been set forth in full herein. Necessary Resolution/Authorization is enclosed on the letterhead.
I/we do hereby indemnify and forever keep indemnified the Bank and its successors and assigns from and against any and all claims, actions,
penalties that may be made, suffered or incurred by the Bank by reason of non compliance of any of the terms and conditions as per annexure II
mentioned therein.
Place: Date:
Signature:
1. Name & Designation:
2. Name & Designation:
3. Name & Designation:
4. Name & Designation:
Branch confirmation For IBCOT:
We confirm that
1. The customer details given above are correct and User ID created on:
same are recorded in CBS also.
2. We have verified the signatures of the customer as Signature:
appended above Name:
3. All the accounts of the abocve customer have been
linked to one Customer ID as given above User ID dispatched on:
4. We have enabled the above Customer ID for
enabling in Finacle-FVTM/CFTM and Password dispatched on:
5. We recommend granting ebanking facility to the
above customer. Signature
Signature of Branch Manager: Name:
Name of the Branch Manager:
Signature Number:
Branch Alpha:
SOL ID:
ANNEXURE – I
C O R P O R A T E D E T A IL S
S r. D e t a ils o f D iv is io n s / S e c t io n s w it h in t h e C o r p o r a t e D e t a ils o f R o le / D e s ig n a t io n w it h H ie r a r c h y w it h in t h e C o r p o r a t e
No in t h e C o r p o r a t e
C O R P O R A T E U S E R D E T A IL S
Sr. N a m e o f U ser P r efe rr ed U se r ID D a t e o f B ir t h S ig n a t u r e o f U s e r
No
P le a s e a tta c h s e p a r a te s h e e t if m o r e d e ta ils to b e f u r n is h e d .
I /W e h e r e b y c o n f ir m th a t m a n d a te f r o m th e c o m p e te n t a u th o r ity h a s b e e n o b ta in e d . N e c e s s a r y R e s o lu tio n /A u th o r iz a tio n is e n c lo s e d o n th e le tte r h e a d .
S ig n a tu r e :
1.
N a m e & D e s ig n a tio n :
2. N a m e & D e s ig n a tio n :
3. N a m e & D e s ig n a tio n :
4. N a m e & D e s ig n a tio n :
P la c e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a te : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Submit
