Mobile money services CUSTOMER REGISTRATION FORM Mobile money services

For Back Office use only

CUSTOMER REGISTRATION FORM
(All information on this page is required and mandatory)
Account ID:

Documents Checked by (Name): Please Check Product Type: Please check one with

Date: (DD-MM-YYYY) Easy Pay Easy Send (Please also fill out page 3)
Signature
Mobile Number:
Documents Approved by (Name):
First Name:
Signature Date: (DD-MM-YYYY) Middle Name :
Last Name:
For Bank use only Date of Birth: (DD-MM-YYYY)
Documents Checked by (Name):
Correspondence Address:
Signature Date: (DD-MM-YYYY) NOTE: (For Easy Send Customers, this information must match address proof information provided)

House/Flat Number: Building Number:

Documents Approved by (Name):
Road: Area/Locality:
Signature Date: (DD-MM-YYYY) City/Town:

State: Pin:

Most Important Terms and Conditions

These are the Most Important Terms and Conditions (MITC) of the Yes Bank Ltd's TERMS OF SERVICES – [Mobile Money Services / Mobile Payment Services] (hereinafter referred to as “TERMS OF SERVICES”) Customer Declaration:
between YES BANK (“YES BANK Limited”) and you the person who requested for this Service.
These MITCs shall be read with the “TERMS OF SERVICES” and are incorporated by reference into the TERMS OF SERVICES. The Customer agrees to comply with and be bound by the TERMS OF SERVICES, I have read and understood the terms and conditions specified for the mobile money services by YES BANK, a summary of which is attached hereto.
including all modifications made to it from time to time. Full details of terms and conditions of the mobile money services by YES BANK have been made available to me and I agree to abide by the terms
The capitalized terms which are not defined here shall have the same meaning as ascribed to them in the TERMS OF SERVICES which are available on Bank's Website www.yesbank.in and conditions therein.
Eligibility: The Services is only available to resident Indian person who has attained the age of majority and who is competent to contract. The Bank reserves the right to not to make these Services available to
anyone or withdraw the same at any point of time I confirm
Maintenance of Sufficient Funds: It is the responsibility of the Customer to ensure that he has sufficient funds in his Account to take care of Transaction amount and related Charges before he initiates a
Transaction. a) I have received activation SMS with temporary PIN
Privacy and Information Sharing: When the Customer register for the Services, the Bank / Related Parties (details of Related Parties is available on Bank's Website www.yesbank.in) and their employees, b) I have received confirmation SMS and checked balance for the cash deposited into my prepaid account.
officers, partners, contractors, agents, representatives, and correspondents shall ask for or otherwise collect and share amongst each other certain personal information about the Customer such as his name,
address, birthday, gender, email address, mobile numbers, Account password, password recall questions and answers, Account number and system ID and status so that the Bank can communicate with the I do not wish to receive any marketing or campaign calls
Customer by phone, SMS, email or by post to ensure the security of the Services and to facilitate the use of and experience with the Services by the Customer. The Bank will disclose to third parties about
Customer's Account or his Transfers/Transactions :
Developing new mobile services.
In order to complete Transfers and to provide Transfer information (for example Customer's name or phone number) to senders and recipient
In order to verify the existence and condition of Customer's Account for a third party, such as a credit bureau or bank,
In order to comply with government or court orders; or
Information for verifying your identity:
In order to prevent actual or suspected fraud or abuse of the Services (including comparing information about Customer or his Account with databases operated by third parties); or
As otherwise provided in the Bank's privacy policy. Mother’s Maiden Name:
Service Charges: Schedule of Service Charges applicable to the Services will be made available to Customer on request at Business Correspondent Agent locations or at designated Bank branches. The
Customer can also refer to Schedule of Service Charges on the Bank's Website. The Bank may at its discretion after giving 30 days notice to the Customer, change amend, increase, reduce the Charges applicable Mother’s Date of Birth: (DD-MM-YYYY)
to the Services. The mode of communication of notice shall be decided by the Bank.
Validity and Termination: Subject to the Terms and Conditions contained in the TERMS OF SERVICES, the Bank reserves the right to suspend the Services (wholly or in part) and may offer or suspend any
incentive or promotional program at any time. The Bank may at its discretion after giving 30 days notice to the Customer, terminate the Services.
Prohibited Conduct: Customer understands that there are certain conducts and actions which are prohibited and binding on the Customer – the complete list of such conducts and actions is provided in the TERMS
OF SERVICES, available on the Bank's Website www.yesbank.in
Account Password (PIN) and Unauthorized Transactions: The Customer is responsible for the confidentiality, safety and security of the PIN and the Customer shall be solely responsible for the consequences
arising out of the disclosure of his PIN and/or unauthorized use of Services and shall be liable for any increased liability which he may incur on account of unauthorized use of the PIN and Services
Termination by the Customer: The Customer may terminate the Services at any time by contacting the Customer Care Numbers and by providing 7 days (Seven Days) written notice to the Bank, uninstalling all Place:
copies of the Mobile Application software on his mobile phone, destroying all copies of the Mobile Application software in his possession, withdrawing the funds in the Account of the Customer and discontinuing use
of any and all parts of the Services. Date: (DD-MM-YYYY)
Refund: The funds deposited in the Account registered as Easy Pay Account, cannot be withdrawn and shall not be refunded by the Bank. The Customer will be entitled to refund of funds held in Easy Pay Account
only in case the Bank completely winds-up the scheme of Easy Pay Account under the Services. Signature
Except in case of Easy Pay Account the Customer may withdraw funds from his Account only at a designated branch of the Bank or through the Bank's ATM Network.
Interest: No interest shall be payable by the Bank on the funds deposited/ transferred to the Customer's Easy Pay Account or Easy Send Account.
Indemnification: Customer agrees to indemnify, save, and hold the Bank, and/or Related Parties harmless from any and all claims, losses, damages, and liabilities, costs and expenses, including without limitation
legal fees and expenses, arising out of or related to Customer's use or misuse of the Services, any violation by Customer of these Terms and Conditions, or any breach of the representations, warranties, and
covenants made by the Customer herein.
Authority to debit the account: The Customer hereby authorizes the Bank to debit the Account(s) with the amount of withdrawals, or transfers effected by the use of Mobile Payment Services, as per the Bank's
records. The Bank's record for Transactions processed through the registered Mobile Phone device shall be final and binding on the Customer.
Disclaimer of Liability: in no event will the Bank, and/or related parties be liable to Customer for any special, indirect, incidental, consequential, punitive, reliance, or exemplary damages (including without
limitation lost business opportunities, lost revenues, or loss of anticipated profits or any other pecuniary or non-pecuniary loss or damage of any nature whatsoever) arising out of or relating to (i) these terms and
conditions , (ii) the service or any reference site, (iii) Customer's use or inability to use the service (including any and all materials) or any reference sites, or (iv) any other interactions with another customer in
connection with the service, even if the bank, or an authorized representative has been advised of the possibility of such damages.
Governing Law & Jurisdiction: The Customer agrees and confirms that all claims, matters and disputes are subject to the jurisdiction of the competent courts in Mumbai and laws of Republic of India shall govern
any dispute in connection with or relating to these Terms and Conditions.
The customer should familiarize himself with the risks, limitations etc. associated with applying for this service. The customer is advised to read the TERMS OF SERVICES in details as available on the Bank Website
(www.yesbank.in) before applying for the Services.

Version 1.1 Form date: 15-01-2010 Page 4 of 4 Version 1.1 Form date: 15-01-2010 Page 1 of 4
Mobile money services CUSTOMER REGISTRATION FORM Mobile money services CUSTOMER REGISTRATION FORM

Permanent Address: Please check box with if same as correspondence address KNOW YOUR CUSTOMER INFORMATION
House/Flat Number: Building Number: (REQUIRED BY RESERVE BANK OF INDIA FOR EASY SEND CUSTOMERS)
Road: Area/Locality: Please submit self attested documentation proof for each of the three below,
City/Town: 1. Identity Proof (any one) 2. Address Proof (any one) 3. Signature Proof (any one)
State: Pin: Passport Passport Passport Please paste
ss
Driver’s License Driver’s License Driver’s License a cro raph passport size
n o g photograph
Alternate Phone Mobile Number:
PAN card Electricity Bill (Original)
Sig phot
PAN card e
Email: th
Voter ID Card Bank Statement(Original) Voter ID Card (To be submitted by
Gender: Male Female Easy Send Customers
Identity card* Telephone Bill (Original) Identity card* only)
Preferred Language: Hindi English Other*(specify) Other*(specify) Other*(specify)

*Subject to Bank acceptance and approval only

*Nomination Form (In case of adversity the money will be refunded to the nominee) (optional) Agent Name:
Nomination under Section 45ZA of the Banking Regulation Act, 1949 and Rule 2 (1) of the
Banking Companies (Nomination) Rules, 1985 in respect of bank deposits Agent OAN: Mobile Number:

Original Identification documents have been seen and verified by me. I confirm that I have explained process, charges, service features, usage,
and customer service contact details to the customer.
Please choose one of the following options:
Agent Signature __________________________________________ Date: (DD-MM-YYYY)
Yes, I/We require nomination under section 45Z of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination)
Rules, 1985 in respect of bank deposits.
If marked Yes, you are required to completely fill out the information below. Incomplete information will result in rejection of your application for
the Easy Send service.

No, I/We confirm that I/We have been explained about the benefits of nomination facility to my/our bank account by the YES Bank official.
However, I/We state that in spite of the explanation of the said benefits, I/We do not wish to nominate any person to the Account. Request you
to kindly process my/our account opening form without the nomination facility.

nominate the following person whom, in the event of my/our death, the balance in the account may be returned to the following: Agent Acknowledgement:

Name & Address of the Nominee:

Received with thanks from mobile # customer registration form and the

Relationship: Age: Date of Birth: (DD-MM-YYYY)

following documents (Documents submitted will not be returned)
*As the nominee is a minor on this date, I/We appoint (Name, Address & Age)

1) 2) 3)
to receive the balance amount in the account on behalf of the nominee in the event of my/our minor’s death during the minority of the nominee.
**Where deposit is made/account held in the name of minor, the nomination should be signed by a person lawfully entitled to act on behalf
of the minor. Agent Name: Date: DD-MM-YYYY:

Agent OAN: Agent Signature:

Place:

Date: (DD-MM-YYYY) * Signature of Customer

Name, Signature and Address of witness Name, Signature and Address of witness

Version 1.1 Form date: 15-01-2010 Page 2 of 4 Version 1.1 Form date: 15-01-2010 Page 3 of 4