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  • Inactive and Dormant Account Activation Form

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    451 views1 page

    Inactive and Dormant Account Activation Form

    Uploaded by

    mani m

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Date:

    INACTIVE / DORMANT ACCOUNT ACTIVATION FORM


    Customer ID: Account Number :

    Name:_________________________________________________________________________________________
    (Primary applicant)
    (Details to be filled in CAPITAL LETTERS)
    *Mobile No:

    Update my/our mobile number as mentioned above

    I / We confirm having checked the mobile number updated/to be updated in the bank records and understand that all SMS
    alerts for electronic banking transactions will be received on the above mentioned mobile number.

    E-mail:

    You will receive account statements at above mentioned e-mail ID and you will be registered for free monthly e-mail
    statement. Passbook can be availed at any branch.
    I/We ________________________________________________________________________________________________________confirm
    that I / We have not operated my/our above account for the following reason(s):___________________________________________
    I/We request you to activate my/our above account (tick below option if applicable)

    Update my/our communication address* as per the address proof provided.


    ____________________________________________________________________________________________________________________
    ____________________________________________________________________________________________________________________
    ____________________________________________________________________________________________________________________
    ID proof provided:_____________________________________ Address proof provided:_____________________________________
    Issue a New Cheque Book New Debit Card
    Please send the Cheque Book Debit Card at Registered communication address Branch
    Customer Declarations:
    I/We hereby understand that:

     ICICI Bank reserves the right to reject the request for updating Change of address/ Mobile number/E-mail ID/PAN/Aadhaar
    Number.
     As per RBI guidelines dated July 6, 2017, if mobile number is not registered in Savings Account, I/we will not be allowed to
    transact through alternate channels like Internet Banking, iMobile app, Unified Payments Interface (UPI), card swipe
    transactions.
     My/Our User ID would be disabled if my/our mobile number is not registered for receiving SMS alerts.
     Mobile Banking facility for one or more of the products/services without assigning any reason if incomplete or inaccurate
    information is given, ICICI Bank, before rejecting/accepting any of the above requests for any of its products, has the right
    to ask for additional documents.
     It is my/our responsibility to inform ICICI Bank immediately if there is any change in the address/e-mail ID mentioned herein
    and to provide further information as may be required by ICICI Bank.
     Mobile Banking facility is not offered for jointly operated accounts.
     I/We confirm and undertake that I/we have read and understood the Terms and Conditions governing the Mobile Banking
    facility of ICICI Bank as mentioned/specified on www.icicibank.com.
     I also authorise the bank to contact me on the number mentioned above for verification callback or checks to confirm the
    veracity of any transaction, as deemed fit by the bank.
     I confirm that the mentioned mobile number is held by me and is not in use by any third party and I undertake that I shall
    duly and promptly inform the bank if and when my mobile number changes.
    Sincerely,

    __________________________________________ __________________________________________ __________________________________________


    Primary Holder Joint Holder 1 Joint Holder 2
    Branch use only
    Maker : Employee ID :_____________________________________ Checker : Employee ID :___________________________________
    Name & Signature :________________________________ Name & Signature :______________________________
    Acknowledgement to Customer (To be filled by Bank Official)
    Received from ____________________________________ account number Date:

    for dormant account activation.


    Branch Name: ___________________________________________________________________ Bank
    Seal
    Branch official Name: _______________________________________ Employee ID & Signature : ____________________

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