Internet Banking Service Request Form

Export Import Bank
of Bangladesh Limited
Pioneer in Innovative Banking
Access IBanking with
secured & easy rationale
Internet Banking Service Request Form
Date: ......../........./............
The Relationship Manager/ The Head of ADCD
Export Import Bank of Bangladesh Limited
......................................................................Branch
I am enjoying the Internet Banking Service of your bank. I need some changes in my account. In this regard, the following information is being provided:
Customer Name [in Block Letters]
Registered E-mail Address [in Block Letters]
Registered Mobile Number (Example Local no.: +8801710000000, Foreign No.: +971420000111):
IBanking Customer ID:
Fund Transfer
Add New Debit Account
Account No. (s)
AWCD, MSD,
MSND
Accounts only
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Signature
N.B.: Fund transfer is not applicable for jointly operated account
User Re-activation (Please check, if you want to re-active your user / forgot your user login name or both password and security PIN )
Change Registration info
New E-mail Address [in Block Letters]
New Mobile Number (Example Local no.: +8801710000000, Foreign No.: +971420000111):
I hereby declare that the above information is correct. I agree to abide by the terms and conditions available on the internet
banking site (https://ibank.eximbankbd.com).
I would, therefore, request you to kindly take necessary action for the above changes in my Internet Banking service.
Signature Verified by Branch Official
With Branch & PA Seal
Date........................................
Specimen Signature of the Applicant
Date........................................
Branch Use Only
T24 Customer ID:
IBanking Customer ID:
Inputted by (Name & Signature)
Authorized by (Name & Signature)
Date........................................
Date........................................
ADCD Use Only
Approved by
Authorized by
For any inquery please contact Call Center No : 16246, +8809604016246, Email : [email protected]