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ATM / DEBIT CARD APPLICATION FORM

Thank you for applying for the State Bank ATM / Debit Card. To help us process y
our request quickly please fill this form as per the instructions overleaf if yo
u have any questions, please check with your Branch Official. We are committed t
o making your life simpler with the State Bank CARDs. Application No: New Name N
ame as you would like it on the card (max. 25 Letters (including spaces) Renewal
Replacement
Address
Town / City State Telephone Email My designated account/s on which I require CAR
D services Account Type: Savings
Pin Mobile
Current
Overdraft Date of Birth
Male / /
Female
A/C No. TYPE OF ATM CARD APPLIED FOR: (Read Overleaf before selecting Card Type)
ATM-cum-Debit Card Yuva Card International Debit Card SBI Gold International De
bit Cards 1.VISA 2.MASTERCARD
DECLARATION: I am aware of the Terms and Conditions governing the use of the ATM
Card and agree to
abide by them. The bank may call me at my residence / office in connection with
my ATM transactions.
Place: Date: / / FOR OFFICE USE
New Renewal Replacement Date: / /
Applicant's Signature
ATM Branch Code CIF of Customer Issue Card Old ATM Card No. Ticket No.
Old ATM card No. to be mentioned for a replacement or renewal of the card. Ticke
t No. in case of Lost ATM card.
YES
NO
_________________________ Branch Official's Signature & Branch Stamp
INSTRUCTIONS:
Please fill the entire form in CAPITAL LETTERS only. Leave one box space between
each word. Do not write outside the provided boxes. The address filled in the f
orm must be same as the address in the Account. If different, first change the a
ddress in your account and then apply for new card. Complete all sections. Sign
the declaration. If joint A/c please fill separate application form for each A/c
holder. Joint A/c to be either or survivor / anyone or survivor. ATM CARD TYPES
: ATM-cum-Debit Card (Maestro): Usual type given to all account holders. Max. 40
,000/- withdrawal at ATMs. Max. 50,000/- at Merchant Establishments. At all ATMs
Displaying MasterCard, Maestro, Cirrus Logos. International Debit Card (Maestro
): Usual type given to all NRE account holders. Usable at all ATMs around the Gl
obe. Max. 50,000/- withdrawal at ATMs. Max. 1, 00,000/- at Merchant Establishmen
ts. At all ATMs Displaying MasterCard, Maestro Logos. SBI Gold International Deb
it Card (Visa / MasterCard): Only for Customers who maintain their quarterly bal
ance as 50,000/-. Max. 50,000/- withdrawal at ATMs. Max. 2, 00,000/- at Merchant
Establishments. At all ATMs Displaying Visa / MasterCard Logo whichever applica
ble. Can undertake transactions through internet for ticketing, e- commerce. Vis
a Bill pay[For Visa Cards only], Mobile Top Up, Virtual cards solution for e-com
merce and wide range of Discount on shopping, entertainment and leisure, and pur
chase etc.
Yuva Card (Visa): Only for Youngsters within the age group – 18-30 Years. Max. 5
0,000/- withdrawal at ATMs. Max. 2, 00,000/- at Merchant Establishments. At all
ATMs Displaying Visa Logo. Can undertake transactions through internet for ticke
ting, e- commerce. Visa Bill pay, Mobile Top Up, Virtual cards solution for e-co
mmerce and wide range of Discount on shopping, entertainment and leisure, and pu
rchase etc. on use of Yuva Cards.
o
For more details on the cards visit our website: http://sbi.co.in
TERMS AND CONDITIONS
Bank means State Bank of India Card(s) means SBI ATM / Debit Card issued to cust
omer either in association with MasterCard / VISA. Cardholder means customer who
has been issued ATM / Debit Card • • • • The card is the property of the Bank a
nd shall be returned unconditionally and immediately to the Bank upon request by
the Bank. The Bank reserves the right to cancel the card and stop its operation
s unilaterally without assigning any reason. The Card is non-transferable. The C
ard Holder is initially allotted a computer generated 4 digit PIN (Personal Iden
tification Number) which will be in a secured and sealed PIN Mailer. It is manda
tory for the card holder to carryout a successful transaction using the PIN at S
BI in order to activate the card. Any financial loss due to misuse of Card will
be to the Card Holder's account. Loss of card should be reported at Bank's all I
ndia Helpline No.1800112211 and ticket no should be obtained in order to apply f
or replacement card. And also notify the Branch from where he/she has obtained t
he card in writing. Fresh card will be issued in replacement of lost/damaged car
d at a charge of Rs.200/- plus taxes, if any, at present. The cardholder can req
uest for regeneration of PIN in case he has lost / forgotten the same. The Bank
provides the customer with a new PIN at a charge of Rs.55/- which will be debite
d to the customer’s account. The Card holder wishing to close the designated acc
ount or surrender the card facility will give the Bank 10 working days notice in
writing and surrender the Card along with the notice.
• •
• •

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