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Get Sbi Kiosk Account Opening Form Pdf

STATE BANK OF INDIA STATE BANK MOBICASH MOBILE WALLET WALLET OPENING FORM Self Attested photo for office use at BC /CSP level Link Branch Name Code No. Business Correspondent and CSP Name and Code No Reference No. as generated by system Signature and Stamp of the CSP Details to be filled by the applicant Mandatory fields 1. Name Title Mr. Ms. 2. Customer of SBI provide a tick at appropriate box SBI Account Number 4. Mobile Number First Name Yes 91- 6. STATE BANK OF INDIA STATE BANK MOBICASH MOBILE WALLET WALLET OPENING FORM Self Attested photo for office use at BC /CSP level Link Branch Name Code No* Business Correspondent and CSP Name and Code No Reference No* as generated by system Signature and Stamp of the CSP Details to be filled by the applicant Mandatory fields 1. Name Title Mr. Ms. 2. Customer of SBI provide a tick at appropriate box SBI Account Number 4. Mobile Number First Name Yes 91- 6. Father s / Husband s name 8. Address i. ii. iv* v* Middle Name No Surname 3. UID Number / NREGA No* if any 5. Telephone No* with STD Code 7. Allow channel appropriate box GPRS SMS The information must match address proof document submitted document to be provided as per the list Flat No* / House No* Road Area / Locality City / Town State PIN Code. 9. E-mail ID 11. KYC Document please mention as per the list Proof of identity 10. Date of Birth Document type Document Number DD/MM/YYYY Issue Date Valid up to / Proof of address Declaration I hereby apply for opening State Bank Mobile Wallet State Bank MobiCash. I declare that the information provided by me in this application is true and correct. I have read and understood the terms and conditions. I will be bound by the Terms and Conditions governing the State Bank Mobile Wallet as may be in force from time to time and as may be displayed over the Bank s website www. sbi. co. in* or www. statebankofindia*com from time to time. In the event of any failure on my part to comply with the terms and conditions or in the event of any information supplied by me being found to be incorrect and inaccurate in future I will be liable for any/ all penalties and/or action under the local laws and/or regulations as may be in force. I accept that State Bank of India is entitled in its absolute discretion to accept or reject this application without assigning any reason whatsoever. An amount of Rs. deposited with CSP code No. for opening State Bank MobiCash. Place Date Signature For Branch/Office use Date of receipt of State Bank MobiCash Wallet Opening Form Date of verification of the particulars of entry in web service with Wallet opening form Authorised in the system for opening the Mobile Wallet Signature of Authorised Official at Link Branch ----------------------------------------------------------------------------Tear from here------------------------------------------------------------Receipt opening the State Bank MobiCash. Name Title Mr. Ms. 2. Customer of SBI provide a tick at appropriate box SBI Account Number 4. Mobile Number First Name Yes 91- 6. Father s / Husband s name 8. Address i. ii. iv* v* Middle Name No Surname 3. UID Number / NREGA No* if any 5.

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