Services - eDelivery Channels

*Account Holder's Name:

*Name in English:

Name in Arabic:

Account Type:

Individual

Corporate

Joint

Corporate

Gender

Male

Female

*Place of Birth:

*Date of Birth:

/ / dd/mm/yyyy

*Nationality:

Passport No.:

for non Jordanians

National No.:

for Jordanians

*Occupation:

E-mail Address:

P.O. Box:

Zip Code:

Country Code:

Contact No.

Country Code - Area Code - Number

*Mobile:

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Home:

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Authorized User Identification

Please provide us with a unique word to identify the caller when password is forgotten or maximum password tries exceeded (i.e. What is your Mother’s maiden name? What is your favorite color? etc…

Preferred Question:

Answer:

*Branch

Accounts to be Accessed (Please add/remove the following Accounts)

Add	Remove	S/N	*Account Number
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Please select the service and the account serial number you wish to subscribe to

*Push SMS Services

*Pull SMS Services

I/We agree to the ABC smsBanking Terms and Conditions which I/We have read, and any amendments, alterations and additions from time to time:

I/We also confirm as follows (as applicable):

1. The person(s) whose signature(s) appear in the Authorized User section above has/have sufficient authority and is/are authorized to use the ABC smsBanking service at any time and from time to time for and on behalf of the Company/Association in relation to the above mentioned accounts.

2. The person(s) whose signature(s) appear in the Authorized User section above has/have sufficient authority and is/are authorized to use the ABC smsBanking service at any time and from time to time on my/our behalf in relation to the above mentioned accounts.

Delivery Channels

ABC smsBanking Subscription Form