United Bank of India

Application form for updation of

Details for Online Alerts and OTP

The Branch Manager,

United Bank of India
____________________________Branch

I/We herewith furnish the following detail for updation of records in my/our account.

Customer ID: - - - - - - -
A/C Number : - -
Name of the Customer:
Mobile Number: + 9 1 - -
eMail Address :
PAN Number : - - - - -

I hereby agree that I have understood the registration process as mentioned in the bank website
www.unitedbankofindia.com for subscribing for Online Alerts (SMS and/or eMail) and OTP (in case of
eBanking customers). I hereby agree to subscribe to Bank's Alerts services.

Signature:

Date:

Place:

__________________________________________________________________________________

For Office Use

Branch Confirmation:

We confirm the following and recommend for granting Online Alerts (SMS and eMail) and OTP (in case of
eBanking customer) to the above customer.

1. The Customer details given above are correct and the same are recorded in CBS.
2. We have verified the signature of the customer as mentioned above.
3. The Mobile Number, e-Mail ID as given by the customer has been added/ updated in CBS.

SOL ID:

Branch Code:

Entered By: Signature of Officer with Signature Number

Verified By: Signature of Officer with Signature Number

__________________________________________________________________________________