sbi_profile_duplicate_password_5.doc

7/30/2019 sbi_profile_duplicate_password_5.doc

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STATE BANK OF PATIALA (For individuals)INTERNET BANKING "Onlinesbp"

Registration Form for Duplicate Sign on password(In case you maintain accounts with more than one INB branch and havelinked those usernames, kindly submit the form only to the branch selected byyou on Internet Banking while making the request)

To

The Branch Manager,State Bank of Patiala,________________Branch.

I am a registered USER of your Internet Banking Service ~ "onlinesbp"

for my / our following Account (s) at your branch.

My Duplicate Password reference number is

Applicant's Name: (Max. 25 characters)

(Please mention 11 digits A/c No. as mentioned in your Pass Book / Statement of Account)

I have forgotten the sign on password and I request you to reissue the same.

Date of Birth e-mail Address

DD MM YY Telephone No(s).

Address for dispatch Office: __________________

________________________________ Residence:_________________

________________________________

Pin _______________

I confirm having read and understood the document containing the "Terms of Service"

governing the SBP's Internet Banking and I accept the same. I further agree that the

transactions executed over onlinesbp in above-mentioned accounts under my Username

and Password will be legally binding on me.

Date SIGNATURE VERIFIED

AUTHORISED OFFICIAL APPLICANTS SIGNATURE

FOR OFFICE USE

Registration Form - for Duplicate sign on password

Application Serial Number:

FOR OFFICE USEApplication Serial number:


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PARTICULARS DATE SIGNATURE OF AUTHORISEDOFFICIAL

The account numbers and the account name

quoted and the signature in the registration form

tallied with branch records.Authorisation for duplicate noted against original

entry.

Notes:

Recommended for providing/ rejectingInternet Access

Internet Access permitted/rejected

DATE : OFFICER

DATE BRANCHMANAGER/

MANAGER OF DIVISION

Reason(s) for rejecting the INB Service (if

any)DATE SIGNATURE OF OFFICIAL

Reason(s) advised to the Applicant

Clearance for release of duplicate Uploaded

FORM DA 1

Nomination under section 45Z of the Banking Regulation act 1949 and Rule 2(1)

of the Banking Companies (Nomination) Rules, 1985 in respect of bank deposits.

I/We, (Name of in Block Letters and address of all the persons holding the deposits)


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Name Address

A

B

C

Nominate the following person to whom in the event of my/our/minors death the amount of the

deposit, particulars whereof are given below, may be returned by State Bank of

Patiala,______________________________Branch, _________________.

Nature of deposit Distinguishing Account No. Additional details, if any

DETAILS OF THE NOMINEE(S)

Name Address

Relationship

with deposits(s)

if any

Age

If nominee is

minor, his date

of birth

As the nominee is a minor on this date, I/We appoint Shri/Smt/Kum:Name Address

to receive the amount of the deposit on behalf of the nominee, in the event of

my/our/minor(deposit holder)s death during minority of the nominee.

Date

Place Signature/thumb impression of all the persons holding the deposit* @

* Names, signatures and addresses of two witnesses, in case of thumb impression:

Name Address Signature

@ Where deposit is made in the name of a minor, the nomination should be signed by a

person lawfully entitled to act on behalf of the minor.

Name(s) and Address(es) of depositors :

Dear Sir/Madam,

We acknowledge receipt of nomination made by you in favour of Shri/Smt/Kum

aged years in respect of your SB/CA/TDR/STDR/RD

Account Number on Form DA 1 dated the .

Yours faithfully,

BRANCH MANAGER

State Bank of Patiala,

____________Branch

ACKNOWLEDGEMENTDATE:

sbi_profile_duplicate_password_5.doc

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