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The customer is requesting multiple updates to their personal details and account information with SBI Miyapur branch. Specifically, they want to [1] update their KYC details by adding their PAN number, [2] change their permanent and correspondence addresses, and [3] update their mobile number. They also request [4] activating dormant accounts and [5] modifying fixed deposit account details. Finally, the customer asks to [6] issue new cheque books and debit cards.

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Hr Blackbucks
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1K views3 pages

Ilovepdf Merged

The customer is requesting multiple updates to their personal details and account information with SBI Miyapur branch. Specifically, they want to [1] update their KYC details by adding their PAN number, [2] change their permanent and correspondence addresses, and [3] update their mobile number. They also request [4] activating dormant accounts and [5] modifying fixed deposit account details. Finally, the customer asks to [6] issue new cheque books and debit cards.

Uploaded by

Hr Blackbucks
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Customer Request Form

SBI Miyapur
Bank: ________________________ Branch: _________________________
Miyapur Date*: _____________
02nd Nov,2023

1st Applicant's Name*: _______________________________________________________________________


Zinka Connections Pvt Ltd
2nd Applicant's Name*: _______________________________________________________________________
Account number: _________________________________
37288852624 9000701020
Mobile Number: _____________________________
(Fields marked* are mandatory)
*Kindly fill only those boxes where information is to be added or updated. On submission of form always ask for
acknowledgement* (Kindly tick the boxes against the request opted for)

ADD/UPDATE PERSONAL DETAILS


1. Update KYC ID Type: PAN Aadhar Driving License Passport Voter ID NREGA Card
Document number__________________(Attach self-attested copy of document for verification with original)
Place of Issue____________________________ Issue Date________________ Valid till date: ___________
2. Address Change: Permanent Correspondence Both (Please leave space between two
words/digits)

Address line 1: ___________________________ Address line 1: _______________________________________


Address Line 2____________________________ Address Line 2_______________________________________
Address Line 3: ___________________________ Address Line 3: ______________________________________
Document Type: PAN Aadhar Driving License Passport Voter ID NREGA Card
(Mandatory for Permanent Address Change)
3. Add Father/Mother/Spouse name: ______________________________(strike out whichever is not applicable)

4. Please seed/update my Aadhar Number in the account number mentioned above for DBT purpose: ___
5. Please delete my Aadhar Data from the account Number mentioned above, my Aadhar No.is _____
6. PAN: ____________________________________________________________
7. Email ID: _________________________________________________________
8. Change my Title to: _________________________________________________
9. Change my Name to: ________________________________________________
(Relevant document e.g. Govt. Gazette Notification / Marriage Certificate to be attached)
10. Change mobile number to: __________________________________________

OTHER ACCOUNT/CIF MODIFICATIONS


11. Transfer Account CIF Both To Branch Name_______________________ Branch Code:__________

12. Change mode of operation in above mentioned account to:


Self Either or Survivor Former or Survivor Jointly As per mandate enclosed
13. Request to activate my inoperative/Dormant account (number mentioned above):
Reason for dormancy: ________________________________________________________________
14.Convert my account from Minor to Major as I became Major on ___________________________
15. Change A/c Type to: Salary Package Variant: Corporate/Defence/Others Savings Bank to NRO
Savings Bank
Current Account Variant: Regular/Gold/Diamond/Platinum
16. Change my signature in above mentioned account:

OLD SIGNATURE NEW SIGNATURE


From To
17. I/we request to close above account and pay the balance by: Cash/ Credit to account no.___
FIXED DEPOSIT/PPF ACCOUNT RELATED SERVICES
18. Please change the tenure of my/our Fixed deposit A/C No.___________________ to
_______________________________
19. Reissue Term Deposit advice for A/C number: __________________________________________________
_____________________________________________________
20. Please issue TDS/Interest certificate for Account Number/s: _______________________________________

OTHER ACCOUNT RELATED SERVICES


21. Passbook required: Yes/No [If No, Request for statement of account through e-mail id.
_______________
22. Request to Issue Duplicate Passbook for the Account Number:________
23. Request to activate Phone Banking/Mobile Banking services in the above-mentioned account.
24. Standing Instruction: Please transfer Rs. ________to RD/Loan/SB Account Number: _______________
Starting from date _______________Every alternate Daily/Monthly/End of Month
25. Setup Auto-sweep facility - Saving Plus Threshold amount: Rs _
____
Sweep time: Weekly/Monthly
Under reverse sweep facility the MOD (Multi-option deposit) to be broken by: Last in First Out/First in Last out

NOMINATION
26. Nomination to be modified in my account mentioned above: New/Change/Delete
(Please fill and attach DA-1 form for new nomination, DA-2 form to delete nomination and DA-3 form to change
nomination)
27. Nomination to be modified: [Add/Modify] in the scheme APY/PMJJBY/PMSBY/PPF
APY RELATED SERVICES

28.Request to update the pension amount for APY from Rs _________ to 1000/2000/3000/4000/5000
I hereby authorize the bank to debit my above mentioned bank account till the age of 60 for making payment
under APY as applicable based on my age and the Pension Amounts elected by me.

CHEQUE RELATED SERVICES


29.Cheque book facility: Please provide cheque book facility in my account number mentioned above.
30.New personalized cheque book request: Number of leaflets: 10/20/25/50/100
Name on cheque: ____________________________________________________________
Address to be delivered to: Permanent/Correspondence/New
Address line 1: ______________________________________________________________________
Address line 2: ______________________________________________________________________
Address line 3: ______________________________________________________________________

31. Request to stop (number of cheques) Cheque number listed below/attached

Starting from ______________ ending at ______________ or Cheque number: __________________

Cheque number: _______________ Cheque number: _______________

Cheque number: _______________ Cheque number: _______________


DEBIT CARD SERVICES
32. ATM card issuance (Charges will be deducted as applicable): New/Replace
Address to be delivered to: Permanent/Correspondence
Name on card: ____________________________________________________________________________

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