ChannelApplicationform PDF
ChannelApplicationform PDF
ChannelApplicationform PDF
1. *Applicant’s Name
*First Name
Middle Name
*Last Name
Mobile Number
Email ID
PAN Number
Mother’s Maiden Name
ATM card hot-listing / closure request (Provide last 4 digits of the card number
e.
for closure only)
f. Internet Banking
g. Mobile Banking
h. SMS Banking
Provide SB Account IDs to be linked
Linking of Secondary accounts existing active ATM
i. 1
(Should be done once primary account card is activated)
2
Declaration
I/We declare that above information is correct. I/We authorize Department of Posts to debit/ recover the charges as applicabl e
from time to time from my/our account for withdrawals using my ATM Card or Internet/Mobile/SMS Banking. I/We undertake to
maintain sufficient funds excluding the minimum balance stipulated in my account. I/We will accept full responsibility for
transactions done through my/our ATM Card or Internet/Mobile/SMS Banking and agree not to make claims against Department
of Posts.
Terms and conditions for Internet/Mobile/SMS banking: I/We have read the provisions contained in the terms and conditions
document available in India post internet banking website and I/We agree that transactions executed over India post internet
/Mobile /SMS banking using my/our user ID and password will be binding on me/us.
Terms and conditions for ATM card usage: - I/We agree to the terms and conditions printed below.