Syndicate Net Bank Forms
Syndicate Net Bank Forms
Application for availing SyndProtect RSA SecurID Hardware/Software Token for Internet Banking Services
[Please read the terms & conditions carefully before filling up this form]
The Head of the Branch
SyndicateBank
_____________________ (Branch)
_____________________ (City)
Dear Sir,
I wish to avail the SyndProtect Facility using RSA SecurID Hardware/Software Token for Internet Banking Services offered
by the Bank for all the active accounts covered by the customer ID given below.
Login ID * (Customer ID)
Name in full* (Mr/ Ms/ M/s)
Mobile Number *
E-mail ID *
Savings/Current/OD (flagged accounts)
Category*
Individual
Loan Accounts
Hardware
Software
*
Proprietorship
Partnership
Others
DECLARATION
RSA SecurID Token: I/We agree to receive RSA token which generates passcode for me/each individual authorized signatory(s) as given
above for the purpose of transacting my/our accounts through internet banking.. I/We agree and authorize the bank to debit my/our primary
account with the bank at the rate applicable from time to time for the issuance of duplicate RSA token if any, for the specific facility (which
is non- refundable) to be issued to me/individually to each of the authorized signatory(s). I agree to surrender the token to the branch as soon
as possible in case my relationship with the Bank is terminated for any reason.
I/We confirm that the information given above is correct. I/We have read and agree to abide by the above additional terms and conditions
governing Internet Banking facility of Syndicate Bank provided to me/us which shall constitute an agreement between me/us and the Bank.
I/We have read and understood the rules governing the above channel services and agree to abide by the same. I/We have read and I/We
accept the Terms & Conditions set out by the Bank for offering the SyndProtect RSA SecurID Token for Internet Banking.
Place:
Date:
Signature of Applicant/s
Signature of Applicant/s