STATE BANK OF TRAVANCORE

INTERNET BANKING "SBTOnline"

Registration Form for Duplicate Sign on password
(In case you maintain accounts with more than one INB branch and have
linked those usernames, kindly submit the form only to the branch selected by
you on Internet Banking while making the request)

(For individuals)

FOR OFFICE USE

Application Serial number:

To
The Branch Manager,
State Bank of Travancore,
________________Branch.
I am a registered USER of your Internet Banking Service ~ "SBTOnline"
for my / our following Account (s) at your branch.
My Duplicate Password reference number is
Applicant's Name : (Max. 25 characters)

(Please mention 11 digit A/c No. as mentioned in your Pass Book / Statement of Account)

I have forgotten the sign on password and I request you to reissue the same.

Date of Birth
DD

MM

e-mail Address
YY

Telephone No(s).

Address for dispatch

Office:

__________________

________________________________

Residence:_________________

________________________________
Pin _______________
I confirm having read and understood the document containing the "Terms of Service"
governing the SBT's Internet Banking and I accept the same. I further agree that the
transactions executed over SBTOnline in above-mentioned accounts under my
Username and Password will be legally binding on me.
Date

SIGNATURE VERIFIED

AUTHORISED OFFICIAL

APPLICANTS SIGNATURE

FOR OFFICE USE

Registration Form - for Duplicate sign on password

Application Serial Number:

PARTICULARS

DATE

SIGNATURE OF AUTHORISED
OFFICIAL

The account numbers and the account name

quoted and the signature in the registration form
tallied with branch records.
Authorisation for duplicate

noted

against

original entry.
Notes:
Recommended
Internet Access

for

providing/

rejectingInternet Access permitted/rejected

DATE

DATE :

OFFICER

BRANCH
MANAGER/
MANAGER OF DIVISION

Reason(s) for rejecting the INB Service (if

any)
DATE

SIGNATURE OF OFFICIAL

Reason(s) advised to the Applicant

Clearance for release of duplicate Uploaded

FORM DA 1
Nomination under section 45Z of the Banking Regulation act 1949 and Rule 2(1)
of the Banking Companies (Nomination) Rules, 1985 in respect of bank deposits.

I/We, (Name of in Block Letters and address of all the persons holding the deposits )
Name
Address
A
B
C
Nominate the following person to whom in the event of my/our/minors death the amount of the
deposit, particulars whereof are given below, may be returned by State Bank of
Travancore,______________________________Branch, _________________.
Nature of deposit

Distinguishing Account No.

Additional details, if any

DETAILS OF THE NOMINEE(S)

Relationship
Address
with deposits(s) Age
if any

Name

If nominee is
minor, his date
of birth

As the nominee is a minor on this date, I/We appoint Shri/Smt/Kum:

Name
Address
to receive the amount of the deposit on behalf of the nominee, in the event of
my/our/minor(deposit holder)s death during minority of the nominee.
Date
Place
Signature/thumb impression of all the persons holding the deposit* @
* Names, signatures and addresses of two witnesses, in case of thumb impression:
Name
Address
Signature
@ Where deposit is made in the name of a minor, the nomination should be signed by a
person lawfully entitled to act on behalf of the minor.

State Bank of Travancore,

____________Branch

ACKNOWLEDGEMENT

DATE:

Name(s) and Address(es) of depositors :

Dear Sir/Madam,
We acknowledge receipt of nomination made by you in favaour of Shri/Smt/Kum
aged
years in respect of your SB/CA/TDR/STDR/RD
Account Number on Form DA 1 dated the
.
Yours faithfully,
BRANCH MANAGER