Request type (Tick preferred request type) NEW (Applying for Mobile Banking for the first time) AMEND (Existing customer applying for changes)
PIN RESET (Existing customer applying for PIN reset) CANCEL (Existing customer applying to deregister from Mobile Banking)
Instructions:
Please read carefully through the application and fill in your necessary information. Applicant must be over 12 years of age.
PRINT IN BLOCK CAPITALS and complete all sections.
Please obtain a copy of BSP Electronic Banking Terms & Conditions at your branch or log on to: www.bsp.com.pg
Mobile Banking & Mobile App Application / Amendment Form
Section A: Customer Details
Mr
Ms Miss Mrs
Name
Surname:
Account Number:
CIF Number (BANK USE):
Phone Number : +675
Postal/ Employment Address:
Email Address:
Section B: Linked Mobile Phone
I agree that all my linked account(s) will be accessed/not accessed by this mobile number.
(Tick ONLY 1 preferred service provider)
Add
Mobile Number:
Section C: Declaration
a)
I acknowledge that I have read and understood the BSP Electronic Banking Terms and Conditions found at www.bsp.com.pg or obtained from a BSP Branch and by
executing this document, I agree and am bound by the BSP Electronic Banking Terms and Conditions in my use of the Mobile Banking Service.
b) I also acknowledge that the service provided by the Bank and my obligations under this agreement, in respect of the accounts nominated in this agreement are subject
to the terms and conditions governing those accounts.
c)
I acknowledge that my first use of the Mobile Banking facility will indicate my acceptance of those BSP Electronic Banking Terms and Conditions.
Signature: Customer Image:
Date:
Branch Section
Confirm all account(s) are linked to customer & recipient’s CIF/Z Card
Verified that all account(s) a‘one(1) to sign’authority
Verified customer’s signature.
Confirm that customer has activated for Mobile Banking
Branch Officer’s signature:
Name:
Name:
Authorising Officer’s signature:
dd / mm / yy
BANK USE ONLY
Branch Section
Verified customer’s signature
2nd Day Check Branch Compliance Officer
RBanking Maintenance Report
Check Application Form
dd / mm / yy
BSP Mobile Banking & Mobile App Application / Amendment Form
dd / mm / yy
Delete Mobile Number:
Home/ Residential Address:
Current Profession:
Compliance Officer’s signature:
Name:
dd / mm / yy
Date:
Use your User ID to activate your Mobile Banking service (e.g. *131*123*User ID# & press send)
Your User ID: _______________________
Date:
Date:
Service type (Tick preferred service) MOBILE BANKING MOBILE APP
Mobile Service type (Tick ONLY 1 preferred service provider) Digicel Bmobile
