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[3] Name of the account holder authorized for availing Mobile Banking Service:
(Mobile number of authorized person is to be mentioned. This number shall also be used for sending SMS Alerts for all
Debit/Credit transactions of the above said accounts.)
DATE: __/__/____
THE BRANCH IN-CHARGE
PUNJAB & SIND BANK
B/O ____________________
Dear Sir,
REG: Consent/ Authorization to Application for Registration of Mobile Banking Services (psb@Mobile) submitted by
Mr./Mrs._________________________________________________________________.
I/We, the undersigned hereby declare that we are holding the following Accounts with your Bank jointly with
Mr./Mrs._______________________________________, who is the First Joint Holder for these Accounts:
Sr No Branch Code 14-Digit Account Number Name of All Joint A/c Mode of Operation
Holders(including First Holder)
1.
2.
3.
1.
2.
3.
I/We understand that the said First Joint Holder has submitted an Application for availing psb@Mobile Mobile Banking
Services from your Bank in respect of above mentioned Account(s).
I/We hereby give consent to the said Application and also authorize to the First Joint Account to View/Access and to
conduct operation in the above Account(s) individually through psb@Mobile Mobile Banking Services.
I/We affirm, confirm and undertake that I/We have read and understood the Terms & Conditions for usages of
psb@Mobile Mobile Banking Services which are displayed on the Bank’s website www.psbindia.com and that I/We
agree to abide by the said Terms & Conditions.
I/We hereby state that should I/We wish to revoke the above consent/ authorization, I/We shall issue a letter of
revocation to Punjab & Sind Bank, ______________________ Branch Office in this regard. I/We agree that until fifteen
business days after receipt of such revocation letter by the Bank, the above said authorization shall hold good.
Signatures and Names of the Joint Holders (other than the First Joint Holder)