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    Electronic Banking Registration Form

    Uploaded by

    Shelton Tapiwanashe Ndindana
    This document is an electronic banking registration form for services like internet banking, mobile banking, and e-statements. It collects customer information like name, ID number, contact details, and account numbers. It also allows the customer to select the specific services they want, like funds transfers and bill payments. The customer must agree to the terms and conditions and provide a signature and date to complete the registration.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Electronic Banking Registration Form

    Uploaded by

    Shelton Tapiwanashe Ndindana
    49 views2 pages
    This document is an electronic banking registration form for services like internet banking, mobile banking, and e-statements. It collects customer information like name, ID number, contact details, and account numbers. It also allows the customer to select the specific services they want, like funds transfers and bill payments. The customer must agree to the terms and conditions and provide a signature and date to complete the registration.

    Original Title

    ELECTRONIC BANKING REGISTRATION FORM

    Copyright

    © © All Rights Reserved

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    This document is an electronic banking registration form for services like internet banking, mobile banking, and e-statements. It collects customer information like name, ID number, contact details, and account numbers. It also allows the customer to select the specific services they want, like funds transfers and bill payments. The customer must agree to the terms and conditions and provide a signature and date to complete the registration.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    49 views2 pages

    Electronic Banking Registration Form

    Uploaded by

    Shelton Tapiwanashe Ndindana
    This document is an electronic banking registration form for services like internet banking, mobile banking, and e-statements. It collects customer information like name, ID number, contact details, and account numbers. It also allows the customer to select the specific services they want, like funds transfers and bill payments. The customer must agree to the terms and conditions and provide a signature and date to complete the registration.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Electronic Banking Services

    Registration Form
    Internet Banking Mobile Banking E-Statements

    Application for : (Tick appropriately)

    Customer Type : (Please tick where applicable) Individual Corporate Joint

    Customer Name : (Please print) National ID No

    Contact person : (For Corporate)

    Physical Address

    Postal Address

    Mobile Number (1) Mobile Number (2) E-mail Address (1) E-mail Address (2)
    (Mandatory) (Optional) (Mandatory) (Optional)

    Accounts to be registered

    Account Number Account Name

    Services Required

    Inter-account Transfers Internal Funds Transfers

    External Funds Transfer (RTGS) Bill Payments

    Airtime Purchases Stop Cheque Payments

    Deposit Book Requests Cheque Book Requests

    Bulk Cash Request Bookings


    Transaction Limit Daily Limit

    E- Statement frequency

    Daily Weekly Monthly

    Quarterly Half-Yearly Yearly

    SMS Alerts (Please tick where appropriate)

    Yes, sign up me for SMS alerts

    No, Do not sign me up for SMS Alerts

    Terms & Conditions

    Declaration by Applicant(s)

    I/we agree to the terms and conditions for the use of this facility, provided herewith and agree to abide by them
    all such other rules which may come into force from time to time.

    d d m m y y y y

    Customer’s Signature

    For Office Use Only


    Identification Checked by

    Name Branch Signature Date

    Internet banking Admin


    System Inputter

    Name Branch Signature Date

    Internet Banking Admin


    System Authoriser

    Name Branch Signature Date

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