Direct Channel Customer Set-Up Form

Debit Card / Net Banking Application Form Account / Mandate Holder (Individuals)
Account Details
1st Account Number:

(This account will be accessed at merchants for purchases or other partner network ATMs)

Customer / Applicant Details

Customer ID:
Date of Birth: ______________
E-mail: _________________________________
Mobile:
Name of the Applicant:

(if applicable)

(DD/MM/YYYY)

(This number will be updated in Bank records for all future communication
from the Bank.)

Direct Banking Channel Request

I / We would like to avail of the following services (Please tick the required service)
Debit Card

Internet Banking

Additional Accounts if any

3rd Account Number:

2nd Account Number:

Please Note

Applicants who avail of the Debit Card will automatically be enabled for Internet Banking services.
The Internet Banking User ID (Customer ID) will be communicated at the account mailing address recorded with the
Bank.
The Debit card and PIN will be sent to the applicant/ mandate holders (for mandate holder) mailing / communication
address as per the latest records available with the Bank.

Terms & Conditions

I /We understand that the Debit Card and Internet Banking facility will be issued / enabled to the mentioned
account/mandate holders and any transactions done through them will be automatically debited to the corresponding
accounts maintained by you with the Bank. I /We also understand the account / mandate holder will have access to all
account linked / linked in future to the Debit card.
I/ We, the undersigned, being customer of YES BANK LTD. (hereinafter referred to as Bank) hereby confirm that I/We have
read, understood and agree to abide and be bound by all the provisions of the terms & conditions as displayed on the website:
www.yesbank.in which govern, all of my/ our accounts, present and future, maintained/ opened/ to be maintained/ to be
opened with the Bank from time to time and also the provisions of the various services/ facilities provided at present/ that
may be provided in future. I/ We understand that the Bank may at its sole discretion, at any time and from time to time,
without prior or post intimation to me/ us, add, alter or modify any of the said terms and conditions and that I/ We hereby
agree to abide and be bound by all such changes as if they form part of the terms and conditions and that any transaction in
my/ our account(s) with the Bank and/ or usage of any services by me/ us subsequent to such change shall be deemed and
tantamount to my/ our acceptance of all such changes.

_____________________
Signature (Mandate Holder)

_____________________

__________________________

______________________

Signature (1st Account holder)

Signature (2nd Account holder)

Signature (3rd Account holder)

Note This application form to be attached to the Mandate Letter (for mandate holders only) and submitted to the Bank

Electronic Channel Registration Form

Direct Banking