APPLICATION FORM FOR ATM cum VISA DEBIT CARD
The Chief Manager/AGM ______/______/___________
United Bank of India D D/ M M / Y E A R
Being desirous of availing the facility of using ATM cum Visa Debit card, I/We furnish the information below.
Date of Birth
Nationality _____________________ Resident/Non Resident
A/C. No. SB/CD/OD
(CD a/c. card will be issued to proprietor/proprietress only.)
__________ ________ Pin No.
Address_(O) _____________ l
___________________ Pin No.
Tel. No. (O)
Email ID j
I/We hereby declare to abide