Registration Form

Internet Banking - Interactive Information Exchange Service - Customer Information System (IIES-CIS) - Indian Bank, Singapore Branch

(Please fill up the particulars in bold letters without leaving any columns blank and submit to Indian Bank Internet Banking Cell, #03-02, No 3 Raffles Place, Bharat Building, Singapore 048617)

I/We wish to avail Internet Banking - Interactive Information Exchange Service - Customer Information System (IIES-CIS) facility from Indian Bank, Singapore. I/We submit herewith the required particulars.

Customer Account Number :	(Enter first 6 digits only)
Customer Name :
NRIC/FIN/PP Number :
Mailing Address :
Email Address :
Tel Number :
H/P Number :

I/We have read, understood and agree to abide by the terms and conditions governing Internet Banking Services. Once my / our registration is accepted and User ID is activated by the bank, all my / our linked accounts (including any new accounts that may be opened with my / our Customer ID subsequent to issue of User ID / Password) will be covered under the rules governing the Bank's Internet Banking Services from time to time.
I/We request the Bank to allot the User_id / password for accessing the Internet Banking.

__________________________
Authorized Signatory/Customer's Signature

_________________________
Company Stamp

Date : _______________

...................................................................................................................................................................... (Space for Bank's use)

(Signature/ Authority Verified). Forwared to IT Dept to prefare PIN Mailer: Officer/Manager(Date)


	Registration Form