The Manager
Reliance Financial Services Company

Personal Account holder

I can certify the information furnished by me is accurate to the best of my knowledge

I authorized you to debit my Account No. at branch towards any changes for providing service under Reliance Internet Banking facility

I understand and agree to abide by the terms and condition that govern the Internet Banking facility of Reliance Financial Services by checking the box and affixing my signature on this enrollment form.

For Official Use Only

I confirm having verified the identity of the customer by examining all a)the original National ID, b)customer photograph and signature both physically and with what is available in the RFS system as part of K.Y.C. requirements

I also confirm that I have checked/updated the customer′s information in the RFS system based on information furnished by customer as per this form.