STATE BANK OF INDIA

(For individuals)

I have forgotten the profile password and I request you to reset the same.

Date of Birth DD MM YY &ffi%e'

e-mail Address Telephone No s!. (((((((((((((((((( )esiden%e'(((((((((((((((((

Address as per "an#$s re%ords! (((((((((((((((((((((((((((((((( (((((((((((((((((((((((((((((((( *in (((((((((((((((

I %onfirm having read and understood the do%ument %ontaining the +Terms of ,ervi%e+ governing the ,BI-s Internet Ban#ing and I a%%ept the same. I further agree that the transa%tions e.e%uted overhg%dgh%yutyh/ vh/g &nline,BI in a"ove-mentioned a%%ounts under my 0sername and *assword will "e legally "inding on me. Date ,I1NAT0)2 32)I4I2D

A0T5&)I,2D &44I6IA7

A**7I6ANT$, ,I1NAT0)2

4&) OFFICE USE

)egistration 4orm - for Dupli%ate *rofile password

Appli%ation ,erial Num"er'
PARTICULARS DATE SIGNATURE OF AUTHORISED OFFICIAL

The a%%ount num"ers and the a%%ount name quoted and the signature in the registration form tallied with "ran%h re%ords. Authorisation for dupli%ate original entry. Notes' )e%ommended for providing8 dupli%ate profile password DAT2 ' &44I62) re/e%ting *ermitted8re/e%ted DAT2 B)AN65 MANA12)8 MANA12) &4 DI3I,I&N noted against

)eason s! for re/e%tion if any! DAT2 )eason s! advised to the Appli%ant 6learan%e for release of dupli%ate 0ploaded ,I1NAT0)2 &4 &44I6IA7