1 Name of the customer

3 Mobile No. (as per bank records)

4 E-mail ID (as per bank records)

5 Type of User ID: Retail/Corporate, Please Specify:

5 User ID of Internet Banking

6 Name & Code of the Branch

7 Full Account No (15 Digit)

OLT (Third Party Payment through Internet) Rs

FUNDS TRANSFER: Rs

From Date: To Date:

10 Purpose of the increase

1 Business relationship with CorporationBank, since when

2 Facilities availed from Corporation Bank (Details of the accounts)

3 Average balance maintained in Current accounts/Total amount of

deposits held with Corporation Bank

Zonal Office Recommendations (should be filled by the Zonal Office without fail)

Whether the applicant is having Digital Signature YES/NO

Date:

Recommended/Not Recommended(If not within the Branch Powers)

Remarks

Sanctioned/Not Sanctioned (If within the ZO Powers) Recommended/Not Recommended(If not within the ZO Powers)

RemarksRemarks

Sanctioned/Not Sanctioned (If within the Branch Powers)

9

Branch Recommendations/Sanction (should be filled by the branch without fail)

1. Request Letter in the Letter Head of the Firm/Company.

Mention if it is required Permanantly:

(In case of OLT limit above 5 Lacs for Retail & above 10 Lacs for Corporate & in case of FT limit above 5 Lacs for Retail & above 50 Lacs for Corporate)

2. Board Resolution to permit the user to transact higher limits.

I/We hereby understand and acknowledge the risk involved in availing the enhanced limit and also am/are fully aware that Corporation Bank would not undertake

any liability or responsibility for any loss that may arise due to the same and I/we am are requesting the same at my/our sole risk. I/We also request you to keep the

enhanced limit in vogue upto the date mentioned above or till I/we inform you otherwise.

Signature of the Authorised Signatory with Seal

Date:

Sanctioned/Not Sanctioned

Date: Signature of the Zonal Head/Deputy Zonal Head with Seal

Remarks

Enclosures

Address2

For Webcentre Use:

Signature of the Webcentre Official

Signature of the customer/Authorised Signatory/All Partners

Signature of the Branch Head with Seal

Date:

(In case of OLT limit above 25 Lacs for Retail & above 50 Lacs for Corporate and in case of FT above 25 Lacs for Retail & above 50 Lacs for Corporate)

eBusiness Division, Head Office Recommendations

Enhancement required for 8

11

Date:

Period for which enhancement required

Request to Increase the Limit for On Line Transactions (OLT) & Fund Transfer through Internet Banking (Retail /

Corporate)

SANJAY AGARWAL5 A & B KILPAUK GARDEN ROAD FIRST STREET KILPAUK CHENNAI - 600010

9840791779

sanjay2207@yahoo.co.in

retail

2003sanjaykellys corner CORP0000123

012300601120003

20000002000000

PERMANANTLY

FREQUENT TRANSFERS HIGHER THAN PRESENT 5 LAC LIMIT

14-03-2016