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fot;k cSad VIJAYA BANK ¨¸¾ˆÅ¢¥œ¸ˆÅ ¬¸ºœ¸º™ÄŠ¸ú ¸¾›¸¥¸ œÏž¸¸Š¸ Alternate Delivery Channel Divn iz /kku dk;kZ y; Head Office, 41/2, egkRek xk a /kh jk s M MG Road, cs a xyw j BANGALORE - 560 001 e-mail:[email protected] Toll Free No: 1800 425 4066 Application for services of SMS/E-Mail Alerts To: The Branch Manager VIJAYA BANK ____________________________ Branch I wish to subscribe for the SMS/E-Mail Alert services provided by the Bank. The account details are as follows: 1 Operative account number 2 Account Name 3 E-Mail Id 4 Mobile Number 5 Alert requirement Amount Mobile Alert Email Alert i. Transaction amount above which Alert is required Credit: Rs. Debit:: Rs. ii. Maximum Limit of available balance after transaction Rs. iii. Minimum Limit of available balance after transaction Rs. The messages will be sent to all authorised transactions over and above Rs. 3000 or as requested by the customer, whichever is higher. iv. Cheque Returned issued by the account XXXXXXXXXX Declaration: I agree and abide by the Terms & Conditions of Banking Services made available by Vijaya Bank. I/We also place on record our consent to the changes made/adopted by the Bank for these services/facilities from time to time at its sole discretion. I/We understand that the Bank may at its absolute discretion discontinue the services(s)/ facilities completely or partially without any notice to me/us. I further authorize Vijaya Bank to debit my account(s) towards any charges for extending the above services/facilities as and when the Bank decides to levy the charges, from prospective date with prior intimation. In case: 1. The Mobile is lost I/We will take the responsibility of informing the Bank in writing about the same. 2. I/We decide not to continue with the facility, the same will be informed to the Bank in writing by me/us. 3. Any change in the above detail(s)/Mobile numbers / E-Mail Ids etc. will be submitted to the Bank in writing by me / us. Signature of the Customer For Branch Use: Certified that the above details are updated in FINACLE system provided for Registration of the facilities. Branch Manager with SS No: Date: / / Date: / /

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fot;k cS a d VIJAYA BANK Alternate Delivery Channel Divn iz/kku dk;kZy; Head Office, 41/2, egkRek xka/kh jksM MG Road, csaxywj BANGALORE - 560 001 e-mail:[email protected] Toll Free No: 1800 425 4066 Application for services of SMS/E-Mail Alerts To: The Branch Manager VIJAYA BANK ____________________________ Branch IwishtosubscribefortheSMS/E-MailAlertservicesprovidedbytheBank.The account details are as follows: 1Operative account number 2Account Name 3E-Mail Id 4Mobile Number 5Alert requirementAmount Mobile AlertEmail Alert i.Transaction amount above which Alert is required Credit: Rs. Debit:: Rs. ii.Maximum Limit of available balance after transaction Rs.iii.Minimum Limit of available balance after transaction Rs. ThemessageswillbesenttoallauthorisedtransactionsoverandaboveRs. 3000 or as requested by the customer, whichever is higher. iv.Cheque Returned issued by the account XXXXXXXXXX Declaration: I agree and abide by the Terms & Conditions of Banking Services made availablebyVijayaBank.I/Wealsoplaceonrecordourconsenttothechanges made/adoptedbytheBankfortheseservices/facilitiesfromtimetotimeatitssole discretion. I/We understand that the Bank may at its absolute discretion discontinue the services(s)/facilitiescompletelyorpartiallywithoutanynoticetome/us.Ifurther authorizeVijayaBanktodebitmyaccount(s)towardsanychargesforextendingthe aboveservices/facilitiesasandwhentheBankdecidestolevythecharges,from prospective date with prior intimation. In case: 1.The Mobile is lost I/We will take the responsibility of informing the Bank in writing about the same.2.I/We decide not to continue with the facility, the same will be informed to the Bank in writing by me/us. 3.Anychangeintheabovedetail(s)/Mobilenumbers/E-MailIdsetc.willbe submitted to the Bank in writing by me / us. Signature of the Customer For Branch Use: Certified that the above details are updated in FINACLE system provided for Registration of the facilities. Branch Manager with SS No: Date:// Date://