MOBILE BANKING APPLICATION

The Branch Manager Date :

State Bank of India
Sl. No.:
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* I wish to register/ deregister for Mobile Banking Services of SBI offered under “SBI FreedoM”. I submit
the information required for the purpose as under:
Name of Customer (Maximum 20 Characters and leave a box blank after each name)

(Surname) First Name) (Middle Name)

Email id: Date of Birth:

DD MM YY

My Mobile Number:

Primary /Main Account number Single/Joint# Accounts

Other Account Numbers Single/Joint # Accounts Add/ Delete

I have read the terms and conditions prescribed by the Bank for offering Mobile Banking Services to its
customers and unconditionally accept them. I am also aware that Bank is entitled to modify the terms and
conditions without any notice and posting them on the Bank’s website would constitute appropriate notice. I
agree that the transactions executed while using mobile banking services under my Username and MPIN will
be binding on me/ all the joint account holders.

Date: ……………………… Customer’s Signature

(* Please choose the option)
(# Rights on the “SBI FreedoM” Service will be same as that in your account at the Branch. Accounts which
are operated by all or some of the account holders jointly will not be enabled for mobile banking services.)

FOR OFFICE USE ONLY

Verified the details of the account holder from the record and found correct. The applicant is permitted to
subscribe to Mobile Banking Services offered by the Bank.

Date: Authorised Official

Details uploaded upon the Core System for enabling the account(s) for Mobile Banking Services requested by
the customer

Date: Entry made by Authorised Official