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Phone Number Modification Form

This document is a customer/account modification form for South Indian Bank. It allows customers to request updates or modifications to their customer details or account particulars, such as contact information. The customer provides their present and updated data values for the fields to be modified. They must also submit supporting documents and declare that the updated information is true and correct. Bank staff then verify the submitted documents before processing the requested changes.

Uploaded by

Magesh Waran
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© © All Rights Reserved
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244 views1 page

Phone Number Modification Form

This document is a customer/account modification form for South Indian Bank. It allows customers to request updates or modifications to their customer details or account particulars, such as contact information. The customer provides their present and updated data values for the fields to be modified. They must also submit supporting documents and declare that the updated information is true and correct. Bank staff then verify the submitted documents before processing the requested changes.

Uploaded by

Magesh Waran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MF-VER-2

Branch

Br. Code Customer ID


Experience Next Generation Banking
Account No.
Regd.Office, SIB House, T.B. Road
Mission Quarters, Thrissur, 680 001, Kerala

CUSTOMER / ACCOUNT Modification Form

I/We request you to kindly update / modify the following customer / account particulars,
Revised Customer KYC and Account Opening Form enclosed Yes No

Particulars to be modified Present Data To be modified as under


(Field Name) (Existing Data Value) (New Data Value)

(Use additional sheet/s if required)

Encl : Supporting Document/s 1. ............................................ 2. .......................................... 3. ......................................

I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and
I/we undertake to inform you of any changes therein, immediately. In case any of the above information is found to be
false or untrue or misleading or misrepresenting, I/we am/are aware that I/we may be held liable for it. My/our personal
KYC details may be shared with Central KYC Registry / Tax Authorities / Regulators both local and foreign. I/We hereby
consent to receiving information from Central KYC Registry through SMS / Email on the above registered number /
email address.

Place : .................................................... Date : ............................................ Signature ...................................................

Office Use

Documents received Self certified True copy Notary

Signature of Officer (Sign Code ..........) Signature of Branch head (Sign Code .......)

www.southindianbank.com CIN : L65191KL1929PLC001017 Toll Free : 18008431800, 18004251809 Page 1 of 1

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