This document is a registration form for a State Bank of India customer to request a duplicate sign on password for their internet banking account. It requests the customer's name, account number, date of birth, email, phone number, address and signature. It confirms that the customer has read and accepted the terms of service for internet banking and that transactions executed with their username and password will be legally binding. The form is for office use only to verify the customer's details and signature against bank records, authorize the duplicate password request, and record the date and officials who approved or rejected the request.

1. STATE BANK OF INDIA (For individuals)
INTERNET BANKING" OnlineSBI "
Registration Form for Duplicate Sign on password
( In case you maintain accounts with more than one INB branch and have
linked those usernames,kindlysubmit the form only to the branch selected by
you on Internet Banking while making the request )
To
The Branch Manager
State Bank of India
________________Branch.
I am a registered USER of your Internet Banking Service ~ "OnlineSBI"
for my / our following Account (s) at your branch.
My Duplicate Password reference number is
Applicant's Name : (Max. 25 characters)
(Please mention 11 / 13 digit A/c No. as mentioned in your Pass Book / Statement of Account)
I have forgotten the sign on password and I request you to reissue the same.
Date of Birth e-mail Address
DD MM YY Telephone No(s).
Address for dispatch Office: __________________
________________________________ Residence:_________________
________________________________
Pin _______________
I confirm having read and understood the document containing the "Terms of Service
(Terms & Conditions) " governing the SBI's Internet Banking and I accept the same. I
further agree that the transactions executed over OnlineSBI in above-mentioned
accounts under my Username and Password will be legally binding on me.
FOR OFFICE USE
Application Serial number:

2. Date SIGNATURE VERIFIED
AUTHORISED OFFICIAL APPLICANT’S SIGNATURE
FOR OFFICE USE
Registration Form - for Duplicate sign on password
Application Serial Number:
PARTICULARS DATE SIGNATURE OF AUTHORISED
OFFICIAL
The account numbers and the account name
quoted and the signature in the registration form
tallied with branch records.
Authorisation for duplicate noted against
original entry.
Notes:
Recommended for providing/ rejecting
Internet Access
Internet Access permitted/rejected
DATE : OFFICER
DATE BRANCH
MANAGER/
MANAGER OF DIVISION
Reason(s) for rejecting the INB Service (if
any)
DATE SIGNATURE OF OFFICIAL
Reason(s) advised to the Applicant
Clearance for release of duplicate Uploaded