INDIAN INSTITUTE OF BANKING & FINANCE

Maker Towers, ‘F’ Wing, 19th Floor, Cuffe Parade

Mumbai 400 005.

APPLICATION FORM FOR INSTITUTIONAL MEMBERSHIP

(Please read the notes before filling up the form)

The Chairman
Executive Committee/Governing Council
Indian Institute of Banking & Finance
Mumbai.

Sir/Madam.

Our Bank/Institution hereby apply for election as an Institutional Member of Indian Institute of Banking & Finance (IIBF) to enable our employees
to enroll as its members and appear for the Examinations and to avail of the other services provided by the IIBF. We hereby agree, if elected, to be
bound by the Memorandum and Articles of Association of the Institute. We are aware that, if our Bank/Institution is elected as Institutional
Member, we shall be liable, in the event of the Institute being wound up, to contribute toward its liabilities a sum not exceeding Re.1/-.

To enable you to consider our Bank’s/Institution’s application, we give below the relevant particulars about our Bank/Institution and also undertake
to furnish such other information as may be required for consideration of our application for being elected as an Institutional Member of Indian
Institute of Banking & Finance.

1) Name of the Bank/Institution:

2) Address for communication:

3) Date of Establishment/Incorporation : Date_____________Month_______________Year_______________

4) Nature of Business engaged in :_______________________________________________________________

5) Type/Category (Public Sector/Private Sector/Foreign Bank/Scheduled Co-operative/Non-Scheduled Co-operative/Financial

Institution/Subsidiary of Bank or Financial Institution/Gramin Bank/Others_________________ if subsidiary, name of the parent
institution___________________________________________________________

6) Total number of employees as on 1st January of the Year of Application :_____________

7) Telephone Numbers___________________Fax No.___________E-mail ID_____________________________

8) Contact Person details:

Name of Contact Person_____________________________________________________Designation______________________________

Telephone Number____________________Fax No___________E-mail ID_____________________________

9) The fees for annual membership be made by NEFT/RTGS mode.

The account details of IIBF are as under:
Name of the Account Holder Indian Institute of Banking & Finance
Beneficiary Account Number 19750200000806
Bank name Bank of Baroda, Premier Road, Kurla (West) Branch, Mumbai – 400070
IFSC Code BARB0KURLAX
PAN NO AAATT3309D
Service tax no AAATT3309DSD

Account Number/Transaction ID of NEFT : ____________________________________ Date _____________ Amt ______________

10) DECLARATION: We hereby declare that all the information given in this application is true, complete & correct to the best of our
knowledge. We understand that in the event of any information being found false or incorrect, our membership is liable to be
cancelled/terminated.

Date: Place: Signature (of the authorised Executive)

Name of the Executive of the Bank/Institution

Signed above :

Stamp of the Bank/Institution : Designation of the Signatory :

NOTES:

1) Application is to be filled in CAPITAL letters.

2) Full Year’s subscription to be paid at the time of application for registration.

3) The Annual subscription renewal shall be payable in advance on the first day of April every year (the due date).

4) Subscription once paid shall not be refunded.

5) Institutional Members consist of banking establishments both in the nationalized as well as private sector including the Reserve Bank of India,
State Bank of India, other financial institutions, both Central and State, Co-operative Banks and any other institutions as may be approved by
the Council.

6) The Institutional Members which do not pay membership subscription consecutively for two years would be removed from the list of the
Institutional Members after giving them due notice.

7) An Institutional Member desirous of retiring from the Institute shall give notice in writing of its desire in that behalf and shall not be entitled
to give such notice unless its subscription has been paid for the year in which the notice of its retirement is received. Therefore, an Institutional
Member will not be allowed to resign until such time it pays up the subscription till the date of receipt of its resignation.

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