STATE BANK OF INDIA - SRI LANKA

Transcription

1 APPLICATION FORM FOR ATM CARDS o STATE BANK OF INDIA - SRI LANKA Thank you for applying for the SBI ATM Card. To help us process your request quickly, please fill this form as per instruction below. IMPORTANT INSTRUCTIONS a) Please fill the entire form in CAPITAL LETTERS Only. b) Complete all sections. c) Do not write, outside the provided boxes. d) Joint alc to be either or survivor/anyone or survivor e) Leave one box space between each word. f) Sign the Declaration. g) Joint Account holder to fill separate application forms. Date: Your Name : (Name as you would like it on the card (max. 25 letters) with title, if required. - including spaces) MALE D FEMALE D Permanent Address Town / City State Telephone My designated L..--..I I.--.L..---L.---I_.L...-..l.-...L----l accontls' on which i require ATM service: Primary Account Savings D orcurrent D Savings Alc No. CurrentAic No. 2nd TEL / MOBILE Declaration: (a). I am aware of the Terms and Conditions (overleaf) governing the use of the ATM Card and agree to abide by them. (b). The Bank may call me at my residence/office in connection with my ATM transactions. FOR OFFICE USE ONLY MODE OF OPERATION I SINGLE I E or S I F or S I Anyone or S I Application Sr. No Applicant's Signature.

2 STATE BANK OF INDIA TERMS & CONDITIONS The Terms and Conditions under which the ATM card has been issued are mentioned below for your guidance. (a). Terms Used here: Bank means State Bank of India Card means ATM Card issued to customer Cardholder means customer who has been issuedatm Card. (b). The Card The Card is the property of the bank and 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 operations unilaterally without assigning any reason. The Card is non-transferable..thepin The Card Holder is initially allotted a computer generated 4 digit PIN (Personal Identification umber) Which will be in a secured and sealed PIN Maller. The Card Holder is advised in his own interest to change this PIN to any other four digit number of his/her choice.for this purpose he may use the PIN Change option available at SBIATMs.While selecting a PIN the Card Holder is advised to avoid a PIN which can be easily associated with himlher(eg.telephone Number,date of birth etc.)besides,the selected PIN value should not compose. A sequence from the associated account numbers. String of the same Number. Historically significant dates. Please remember that an unauthorized person can access the ATM services on Card Holder's account ifhe gains the Card and the PIN. The Card therefore, should remain in Card Holder's possession and should not be handed over to anyone else. The Card is issued on the condition that the Bank bears no liability for the unauthorized use of the Card. This responsibility is fully that of the Card Holder. Further the bank will not be responsible for any loss either direct or indirect on account ofatm failure/malfunctioning. (d). Loss of Card The Card Holder should immediately notify the Branch from where he/she has obtained the card.lf the card is loss/stolen. The Card Holder should change the PIN immediately ifit is accidentally divulged. Any fmancialloss arising out of unauthorized use of the card till such time the Banks records the notice ofloss of card will be to the Card Holder's Account. Fresh Card will be issued in replacement of lost/damaged card at charge of'rs.l 000/- (f) Transactions The Transaction record generated by the ATM will be conclusive and binding unless found to be otherwise on verification and corrected by the bank. (g) Closing of Accounts The Card Holder wishing to close the designated account or surrender the ATM facility will give the Bank 10 working days notice in writing and surrender the Card along with the notice. (h) Validity of Card Cards are valid for 2 years from date of Issue. (I) Others The ATM service is for withdrawing cash against the balance that is already available in your account. It is therefore the Cardholder's obligation to maintain sufficient balance in the designated account to meet cash withdrawals and service charges. I The Bank at its absolute discretion may amend Terms and Conditions governing ATM services. Card Holder will be notified of such changes (j) Range of Services (A). SBI-ATM Cards Cash Withdrawals:Card Holders may withdraw minimum ofrs.500/- and maximum ofrs.25,0001 Sri Lankan Rupees per day, subject to the daily limit fixed by the Branch. Any deviation in this regard may attract additional charges. Balance Enquiry: Card Holder can see the Balance in his account linked to ATM card on the screen as well as obtain a transaction receipt showing the balance. Statement of Account: A statement containing the last five transactions in the account can be obtained during the day mode. Change of PIN : Customers can change their PIN at any Networked ATM. Procedure for Noti.fying Lost Card: Customers should inform the branch, which has issued the card in writing. Note: The Bank reserves the right to introduce new facilities or remove existing facilities as and when warranted without assigning any reason for the same. (e)debit to Customers Account The Bank has the express authority to debit the designated account of the Cardholder for all withdrawals/transfers effected using the Card as evidenced by Bank's records, which will be conclusive and binding on the Card Holder. The Card Holder expressly authorizes the Bank to debit the designated account with service charges from time to time. APPLICANTS SIGNATURE..

3 Annex (To be included in the EFTC application or EFTC agreement that the cardholders enter/s into with the bank.) II CENTRAL BANK OF SRI LANKA Declaration by the Applicantls for Electronic Fund Transfer Cards To: The Controller of Exchange (To be filled by the Applicantls to obtain foreign exchange against Credit/Debit or any other Electronic Fund Transfer Card.) I/We.... (Basic Cardholder/Supplementary Cardholder) declare that all details given above by me/us on this form are true and correct. 1/We hereby confirm that I/We am/are aware of the conditions imposed under the Exchange Control Act in the Notice published in the Extraordinary Gazette No: 1411/5 of 19 September 2005 subject to which the card may be used for transactions in foreign exchange and I/We hereby undertake to abide by the said conditions. I/We further agree to provide any information on transactions carried out by me/us in foreign exchange on the card issued to me/us as bank may require for the purpose of Exchange Control Act. I/We also affirm that I/We undertake to surrender the Credit Card/s to bank, if I/We migrate or leave Sri Lanka for employment abroad. I/We am/are aware that the Authorised Dealer is required to suspend availability of foreign exchange on EFTC if reasonable grounds exist to suspect that unauthorized foreign exchange transactions are being carried out on the EFTC issued to me/us. DD.MM.VY Signature of the Basic Cardholder Signature of the Supplementary Cardholder I, as the Authorized Officer have carefully examined the information together with relevant documents given by the applicant/s and satisfied with the bona-fide of these information and documents. I undertake to exercise due diligence on the transactions carried out by the cardholder on his/her EFTC in foreign exchange and to suspend the availability of foreign exchange on the EFTC if reasonable grounds exist to suspect that unauthorised foreign exchange transactions are being carried out on the EFTC in violation of the undertaking and to bring the matter to the notice of the Controller of Exchange. DD.MM.VY Signature of the Authorized Officer

4 TO STATE BANK OF INDIA 16, SIR BARON JAYATILAKE MAWATHA, COLOMB001. MYSBIINTERNATIONALATM CUM DEBIT CARD I understand that while all ATM facilities available at the ATM located at S81, Extension Counter, Landmark Building, Galle Road, Colombo 03 are free of charge, ATM transactions and balance inquiries carried out using the SBllnternational ATM cum Debit Card at non SBI ATMs are subject to transaction charges levied by the Banks and MasterCard establishments concerned. I also understand that SBI will not be responsible for.any dishonor of the Card at other MasterCard establishments or ATMs and that any rejection charges levied by such establishments will be borne by me. Yours faithfully, Name Account Number Father's first Name Mother's maiden Name To State Bank of India 16, Sir Baron Jayathilaka Mawatha, Colombo01. MULTI CURRENCY POOLING I request you to mark a lien on my USD Account No:. for a sum equivalent of LKR25,0001- and make this sum available in my Rupee Account No:... for my ATM and other transactions. Yours faithfully, Name Account Number

5 NOTICE TO ALL ELECTRONIC FUND TRANSFER (CREDITIDEBIT) CARDHOLDERS PAYMENTS IN FOREIGN EXCHANGE Commercial Banks which issue Electronic Fund Transfer Cards hereby inform their Cardholders to be guided by the following Gazette Notice when using their Electronic Fund Transfer Cards for making payments in foreign exchange. The Gazette of the Democratic Socialist Republic of Sri Lanka EXTRAORDINARY No. 1411IS-Monday, September 19,2005 PART I:SECTION (1)-GENERAL Central Bank of Sri Lanka Notices NOTICE UNDER EXCHANGE CONTROLACT (CHAPTER 423 OF THE CLE) Permission in terms of Section 7 and Section 8 of the Exchange Control Act (Chapter 423 of the CLE) 1. Permission is hereby granted for the purpose of Section 7 and 8 of the Exchange Control Act (Chapter 423 of the CLE) for a person in or resident in Sri Lanka to make payments in foreign exchange to a person resident outside Sri Lanka on his Electronic Fund Transfer Card (EFTC) subject to the following terms and conditions.. 2. (a) A payment on an EFTC to a person or an entity resident outside Sri Lanka may be made only for the following purposes: - (i) Payment to be made abroad by a cardholder for services of a personal nature including travel, accommodation, medical, living and educational expenses (ii) Payment for purchase of goods abroad for personal use (iii) Payment for import of goods into Sri Lanka for personal use subject to a limit of US$ 3,000 (c.i. f) or its equivalent in any other foreign currency per consignment. (iv) Payment of registration fees, examination fees and annual subscription fees of a personal nature payable to a foreign professional body or academic institution. (v) Payment to be made in respect of insurance premium only for travel & health insurance of personal nature. (b) Any payment in foreign currency on an EFTC for any transaction which falls Outside the purview of paragraph 2(a) shall require the prior written permission of the Controller of Exchange, unless such payment is in respect of a permitted transaction made out of the funds lying to the credit of a Non Resident Foreign Currency Account (NRFC), a Resident Foreign Currency Account (RFC), a Resident Non National Foreign Currency Account (RNNFC) or an Off Shore account in an 0 ff Shore Banking Unit of a licensed commercial bank. 3. For the purpose of this Gazette notification, unless the context otherwise requires; 'Electronic Funds Transfer Card (EFTC)' means a card or device that enables the user to transfer value in credit, debit or any other form and includes credit cards, debit cards and stored value cards. And, 'Personal use' means for the use of the holder of the card, his spouse and children and parents and does not include use for any commercial purpose. signed H. A. G. HETTIARACHCHI Controller of Exchange Colombo 19th September 2005 SRI LANKA BANKS' ASSOCIATION (GUARANTEE) LTD. On behalf of Bank of Ceylon, commercial Bank of Ceylon Ltd, Hatton National Bank Ltd. Hongkong and Shanghai Banking Corporation Ltd, Nations Trust Bank Ltd NDB Bank Ltd, PABC Bank, People's Bank, Sampath Bank Ltd, Seylan Bank Ltd, Standard Chartered Bank Ltd.

6 To State Bank of India 16, Sir Baron Jayathilaka Mawatha, Colombo01. MYATM CARD NUMBER. In compliance with The Gazette of the Democratic Socialist Republic of Sri Lanka Extraordinary No: 1411/5- Monday, September 19, 2005 Part 1 : Section (1)-General Central BankofSri Lanka Notices- Notice under Exchange Control Act ( Chapter 423 of the CLE), understand and undertake that I will use the SBI InternationalATM/Oebit Card subject to the following terms and conditions: (a) A payment on an EFTC to a person or an entity resident outside Sri Lanka will be made only for the following purposes: - (i) Payment to be made abroad by me for services of a personal nature including travel, accommodation, medical, living and educational expenses (ii) Payment for purchase of goods abroad for personal use (iii) Payment for import of goods into Sri Lanka for personal use subject to a limit of US$ 3,000 (c.i. f) or its equivalent in any otherforeign currency per consignment. (iv) Payment of registration fees, examination fees and annual subscription fees of a personal nature payable to a foreign professional body or academic institution. (v) Paymentto be made in respect of insurance premium only for travel & health insurance of personal nature. (b) Any payment in foreign currency on an EFTC for any transaction which falls Outside the purview of paragraph 2(a) shall require the prior written permission of the Controller of Exchange, unless such payment is in respect of a permitted transaction made out of the funds lying to the credit of a Non Resident Foreign Currency Account (NRFC), a Resident Foreign Currency Account (RFC), a Resident Non National Foreign Currency Account (RNNFC) or an Off Shore account in an Off Shore Banking Unit of a licensed commercial bank. Yours Faithfully, Name: Account Number: