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N

EQUITAS CORPORATE INTERNET BANKING - USER SIGNUP REQUEST


To
The Branch Manager ESFB,
<Branch Name>

I /We authorize Equitas Small Finance Bank to enable Corporate Internet Banking for my/our accounts held
with Equitas.

Corporate UCIC ID : (*For New to Bank,mention as NTB)


Date :
Number of Users : Place :
(*must be less than 100)

Limit Required : (*if applicable / required)

Authorization Type :
1-Maker-Checker
2- Maker-Checker-Releaser

Requestor Name :

Designation :
Role* M = Maker, C = Checker, R = Releaser, V = Viewer
Type# N = New User, M = Modify User, R = Remove User

Name Email Id Mobile Role* Limit Type#


( Please fill (Please fill
M/C/R/V ) N/M/R)
N
* Complete the request details in upper case (Capital letters)
*Certified Corporate Board resolution for pvt ltd or ltd companies should be enclosed along with this form
* Certified partnership deed copy be enclosed for partnership accounts
* If users requested are not authorized users, please submit full KYC & Signatory proof of the requested users
* The role / function / type of each authorised person be documented in the resolution for internet banking.

I/We have read and understood the terms and conditions (as available in https://www.equitasbank.com & in
Equitas Corporate Internet Banking Portal) relating to ESFB Corporate Internet Banking. We accept and agree to
be bound by the said terms and conditions and any changes made to it from time to time, which may / may
not be intimated directly to me/ our company.
I/We hereby acknowledge the details provided & authorise you to fulfil this request based on the details
provided above

Signature(s) of authorised signatory/’s along with the Company stamp

For Office Use Only

Received on

Processed by

Authorized by

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