CORPORATE INTERNET BANKING ACTIVATION FORM

Branch Name Branch Code Date

Customer ID Account No: 1.
Applicant for Biz@Bandhan (Should be Ticked) 2.
Single User Multi-User 3.
1. Constitution Type 4.
Proprietorship Firm Partnership/LLP Firms Private Limited/Limited Company
Government Body Joint Venture TASC
Loan SME – Term Loan (TL) Loan SME – Cash Credit (CC)
2. Details of Corporate
Entity Name
Address

Telephone No. / Mobile No. +91

Official E-mail Id
Preferred Corporate Internet Banking ID 1.
2.
3.
Preferred Net Banking ID Initiator
Approver
(Should be Minimum 8 characters and Maximum 16 characters. Should be Alpha Numeric only, No Special Characters allowed)
User Details User 1 User 2
Request Type New User New User
*Name of User
*Mobile No
*Official E-mail ID

*Signature of User

*All fields are mandatory

Applicant is an AUS in CBS Yes No

Applicant Details
User 1 User 2
(Non-Signatory of Bank)

# Name of User
Photo Photo
# Mobile No.

# Official E-mail ID

# Signature of User

# To be filled only if non-signatory’s do not have an account with Bandhan Bank. Paste a recent color photograph and along with a valid
OVD.
Note: - Details of above mentioned signatories should be mentioned in BR/LOM. Non-AUS applicant in CBS will be given only initiator
rights.
User Access Information User 1 User 2
Account No 1
Account No 2
Account No 3
Account No 4
Per Transaction Per Transaction
Transaction Limit
Per Day Limit Per Day Limit

Transaction Amount (in Per Transaction Per Transaction

word)
Per Day Limit Per Day Limit
Initiator & View Approver Initiator & View Approver
Facility Required
Initiator & Approver Initiator & Approver

DECLARATION
I/We, confirm and undertake that, we have read and understood the “Terms and Conditions” for usage of the ‘Biz@Bandhan’ facility of
Bandhan Bank Ltd. (hereinafter referred to as “Bank”) and I/We am/are aware of the nature of services offered by Bank through Corporate
Internet Banking and charges applicable, as set forth in Bank’s Website/Internet Banking portal and I/We agree to adhere to all the
terms/conditions of opening/applying/maintaining/operating (as applicable) for usage of Corporate Internet Banking of the Bank as may be in
force from time to time. We further authorize Bank to debit our Account(s) towards any charges for usage of Corporate Internet Banking
facility.
I/We declare that all the particulars and information given in this application form (and all documents referred or provided therewith) are
true, correct, complete and up-to-date in all respects and we have not withheld any information. I/We agree and undertake to provide any
further information that Bank may require.
I/We agree and understand that Bank reserves the right to reject any application or block the Internet Banking facility to any account or
withdraw the Internet Banking service without assigning any reason. I/We agree and understand that Bank reserves the right to retain the
application forms, and the documents provided therewith, including photographs, and will not return the same to us.
I/We understand that the TAT for the processing of my/our application will take 4 working days, subject to the resolution of discrepancies if
any.
I/We authorize Bank or their agents to make references and enquiries which Bank or its agents consider necessary in respect of or in relation
to information in this application/further applications. I/We hereby agree and authorize Bank or their agents to exchange, share or part with
all the information, data or documents relating to my/our application to other Banks/Financial Institutions/Credit Information
Bureaus/Agencies/Statutory Bodies/such other persons Bank or its agents may deem necessary or appropriate as may be required for use or
processing of the said information/data by such person/s or furnishing of the processed information/data/ products thereof to other
Banks/Financial Institution/Credit providers/users registered with such persons and shall not hold Bank or its agents liable for use of this
information.
I/We shall hold the Bank harmless against any loss suffered by Bank against any claim or action brought by a third party which is in anyway
the result of the improper use of Corporate Internet Banking by me/us or the user, its client and employees. I/We shall indemnify the bank for
any unauthorized or malfunction of use of Internet Banking Facility.
I/We Undertake/confirm that:
1. In the event of the conduct of the account not being satisfactory, the Bank will at its option be entitled to forthwith terminate the facility
hereby granted to the Constituent or to levy service charges, as mutually agreed upon;
2. The declaration herein contained shall not affect, prejudice or derogate from the Bank’s rights and privileges under the law including the
right to claim set off, general and the bankers disposing or retaining lien or similar rights pertaining to the Constituent’s credit balance in the
account with the Bank;
3. In the event of any malfunctioning and / or break-down in the working of the said network for the reasons beyond the control of the Bank,
the benefits and the facilities hereby granted to the Constituent will stand suspended during such break-down in which case the Bank will not
in any manner be liable and / or responsible to the Constituent for any damages / compensation and / or for any other consequences arising
out of such suspension;
4. Constituent agrees to hold the Bank indemnified in case the Bank suffers any loss on account of operation of the scheme for the benefit of
Constituent;
5. Confirm that the above facility shall not be used for transferring funds in favor of mutual funds, stockbrokers and for investments in other
capital market instruments and dealing with cryptocurrency etc. which are restricted under the Law or by the Regulators;
6. Constituent agrees and acknowledges that the Constituent shall be jointly & severally responsible for all the transactions carried out by the
authorised signatories including and not limited to any unauthorised or fraudulent transaction(s); information appropriately with the Bank
and the Bank shall not be responsible in any manner for any losses/damages caused due to unauthorised or fraudulent transaction(s) by the
authorised signatories of the constituent.
7. In case of change of Authorized Signatory of the constituent we undertake to modify immediately and update the user access and
information appropriately with the Bank and the Bank shall not be responsible in any manner for any losses/damages caused due to
unauthorized or fraudulent transaction/s by the authorized signatories of the constituent.

Authorised Signatories

Names of the Authorised Signatories with Seal

Place:

Date:
…………………………………………………………………………………………………………………………………………………………..
For Branch Office Use Only
Certified that this Request Letter is complete in all respect & all relevant documents are obtained & verified. The request may please be
processed. The CRF has been personally submitted by the Customer. I have satisfied myself about the identify of Customer by verifying his/her
KYC document & also his/her signature in Bank’s records. I have done proper due diligence for updating the records of the Customer on
his/her request at non-base branch/base branch.

Name of Employee Signature

Employee Code Designation

Branch Code

Date Approved by (BH/ABH)

(With Stamp & Employee ID)