This document is a registration form for resetting an Internet banking profile password with State Bank of India. It requests the applicant's name, account number, date of birth, email address, telephone number, address, and signature. The applicant confirms they have read and understood the terms of service governing Internet banking and agree the transactions executed will be legally binding. The form is to be submitted to and verified by the applicant's branch, with notes on whether the reset password is recommended or rejected.