Bank of India: Star
Connect
(Core Banking) Services – Request Form Page 1 of 2
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The Manager
Bank of India,____________________Branch.
Dear Sir / Madam,
Request for availing BOI Star
Connect
(Core Banking) Services- Internet/ SMS/ WAP/ Tele Banking
I
First Name Middle Name Last Name
My Customer ID(s)
Residential Status: Indian Resident Non Resident Indian Foreigner
Name of the Firm*
Activity Type* Trading Manufacturing NGO Services Others __________________
(* Applicable in case of Sole-Proprietorship/ Partnership/ Body Corporate concern)
Date of Birth __________________ Mother’s Maiden Name____________________________
(
DD/ MM/ YYYY)
I wish to have any one of the following User ID mentioned in the order of preference.
Guidelines for User ID* selection
:
1) The first character has to be an alphabet only
2) Minimum length is 6 and maximum length is 10
3) Cannot contain special characters like * ,_, @, & ,+
4) Cannot contain spaces
* User ID shall be allotted to you subject to its availability and shall be advised by a PIN Mailer at your communication address.
Services Required (
please tick ; your choice
)
Internet Banking
:-
Fund Transfer Facility Yes No WAP Banking
SMS Banking
Tele Banking
With out Fund Transfer With Fund Transfer
Communication address
City State Pin Code
Phone(O) Phone(R)
Mobile Fax Email
Declaration
I confirm that I have read and understood the “Terms and Conditions” annexed hereto / as given on the Bank’s web site for the usage of Bank of
India Star
Connect
(
Core Banking
) Services and unconditionally accept and agree to abide by the same and such other modifications made by
Bank of India (BOI) from time to time. I am aware of the nature of services offered by Bank of India through Star
Connect
(
Core Banking
)
Services and shall pay charges / taxes as applicable, from time to time, as set forth in Bank of India’s web site or communicated / demanded by
Bank of India from time to time. I also agree to all the terms / conditions of opening / applying / maintaining / operating as applicable / modified
for usage of Bank of India Star
Connect
(
Core Banking
) Services - as may be in force from time to time. I further authorize Bank of India to
debit my Account(s) towards charges for availing of services through Bank of India Star
Connect
(
Core Banking
) Services. I declare that all the
particulars and information given in this form are true, correct, complete and up-to-date in all respects and I, have not withheld any information. I
agree and undertake to provide any further information that Bank of India may require. I agree and understand that Bank of India reserves the
right to reject any application or block or withdraw the Bank of India Star
Connect
(
Core Banking
) Services - to any or all account(s) without
assigning any reason. I authorize Bank of India or their agents to make references and enquiries which BOI or its agents consider necessary in
respect of or in relation to information in this application/further applications.
Date____/___/______ Signature _____________________________
Place______________ Name (___________________________ )
RETAIL
Page 1 of 2
Request form for availing Bank of India Star
Connect
(Core Banking) Services
(Internet / SMS / WAP / Tele Banking) for Individual / Sole-Proprietorship concern
Bank of India: Star
Connect
(Core Banking) Services – Request Form Page 2 of 2
Data Centre Serial Number.
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For Branch use only
(
Strike out which ever is not applicable
)
1. Customer Details (
Please tick ; relevant boxes)
Name : __________________________________________
Gender : Male Female
Status : Individual Sole Prop. HUF Karta Director Partner Others
Marital Status : Single Married Divorced
Education : Under Graduate Graduate Post Graduate Doctorate.
Occupation : _______________
Type : Staff General Valued Customer
Annual Income : _______________
2. The Customer’s particulars, signature/s and details have been duly verified and the same are as per the
Bank’s record.
3. Resolution (wherever applicable) is obtained and kept on record
.
4. We recommend for providing the Bank of India Star
Connect
(
Core Banking
) Services to the
applicant and confirm that the applicant has been enabled for Internet Banking / Tele banking / Both
set at the Finacle Core on __________________
Date: ___/___/20___ Signature:……………………..………… Sign Code:__________
Place ________________ Name:__________________________________________
For Data Centre Use only
Request Form received on
User Id Created on
User Profile
BRCM
Login Password Set on
Transaction Password Set on
TPIN Set on
Transaction PIN Set on
RETAIL
Page2 of 2
Request form for availing Bank of India Star
Connect
(Core Banking) Services
(Internet / SMS / WAP / Tele Banking) for Individual / Sole-Proprietorship concern
