New Facility/Original Facility Change Request Form

1 1 New Facility / original Facility Change Request Form(For Existing Personal Account Holders Only)The ManagerBank of hereby Request you to make the following additions/modifications to my BOC Bank with InitialsNIC Phone No. Land Phone No. New Debit CardE-mail Address Permanent Address INTERNET & MOBILE BANKING New Internet BankingYes Yes Yes Yes USSD MOBILE BANKINGSMSALERTSA ctivationRe-set passwordActivationYes DeactivationYes Yes DeactivationYes If Yes, provide existing User IDRe-set passwordLink BOC Credit Card (For BOC Credit Card Settlements)Credit Card NoUnlock User IDIf Yes, provide existing User IDForgot User IDYes NoDebit Card TypeIf Not a New Debit Card, provide existing Debit Card No Link BOC AccountsAccount 1 Account 2 Account 3 Account 4 Name Printed Debit CardYes Yes Yes No Replace Debit CardYes Lost CardDamagedExpiredLost PINIf Yes, provide the reasonInstant Debit Card Required Package DefaultSilverGold3rdParty BOC specialCEFTS SpecialSLIPS SpecialBill Payment Special14+ SavingsPlatinumThis Number will be used for all Banking related communications in all channelsRevoke UserYes Inquiry onlyBOC Special2 TERMS AND CONDITIONSDEBIT CARDINTERNET & MOBLIE (PIN)

2 BOCD ebitCardPIN shallmeantheoriginalPersonalIdentificati onNumberconfidentiallygeneratedforme/ snetwork,whereverapplicableandalsowithan yotherliabilitiesinclusiveoflegalfeeorot herstatutorychargesifany, ,I/ srecordsandstatementsofalltransactionspr ocessedbytheBOCD ebitCard/ , sprevailingrules,regulationsandanytermsa ndconditionsgoverningallservices, , , , ,computersystem,ortransmissionlinkordela yindataprocessingorduetoanyindustrialdis puteortoanythingbeyondcontroloftheBank,a nditsemployeesandonanyotherfailureoranyf aultofthemobilephone, sprevailinglaws,rulesandregulationsand/o ranytermsandconditionsgoverningsuchservi cesand/orfacilitiesand/ortransactions, , , ,foranyreasonincludinglimitationinactivi ty,violationofterms& ,I/ , ,liabilities,suits,claims,losses,damages ,costsandexpenses, , , BANK OF SRI LANKA Declaration by the Applicant/s for Electronic Fund Transfer CardsTo: Director-Department of Foreign Exchange(To be filled by the Applicant/s to obtain foreign exchange against Credit/Debit or any other Electronic Fund Transfer Card [EFTC).]

3 (Basic Cardholder / Supplementary Cardholder), ..(Basic Cardholder/Supplementary Cardholder), declare that all the details given above by me /us on this form are true and (TheAct)onElectronicFundTransferCards(EF TCs) (Bank)isrequiredtosuspendavailabilityoff oreignexchangeonEFTC ifreasonablegroundexiststosuspectthatuna uthorisedforeignexchangetransactionsareb eingcarriedoutontheEFTC issuedtome/usandtoreportthemattertothedi rector ,ifI/wemigrateorleaveSriLankaforemployme ntaboard, (DD/MM/YY) of the SupplementaryCardholderI, (DD/MM/YY) (hereinafterreferredtoasthe'Bank')shallp rovidesubjecttotheseTermsandConditionson lineservicesandfacility(hereinafterrefer redtoas BOCI nternet&MobileBankingFacilityandBOCM obileapps )

4 , ,PASSWORDINFORMATION& (the'UserID')andthepassword(the'Password ')foridentifyingme/usforthepurposesofthe servicesinBOCI nternet& (OTP)whichshallbetransmittedthroughthesh ortmessageservice( SMS )bytheBanktomy/ourregisteredmobilenumber , ,exercisereasonablecareanddiligenceinkee pingtheUserID,thePassword,theelectronicd evice/s, ,thePasswordortheOne-TimePassword, ,retrieveuserIDandresetthePasswordonline (OLR). ,thePasswordand/ortheOne-TimePasswordorS ecurityQuestionsandtheanswerstheretotoan yotherpersonandshallbeartherisksoftheUse rID,thePassword, ,I/weshallnotifytheBankinpersonassoonasp racticableorbytelephoneatsuchtelephonenu mber(s)astheBankmayfromtimetotimeprescri be(andtheBankmayaskme/ustoconfirminwriti nganydetailsgiven)and,untiltheBank'sactu alreceiptofsuchnotification,I/weshallrem ainresponsibleforalltransactionsmadebyth euseofBOCI nternet& ,I/wegivemy/ourauthoritytoacceptand/orto actuponanyinstructionsormessagesreceived bytheBankthroughBOCI nternet&MobileBankingFacilityandBOCM obileappswhichcomesfromme/usandwhicharea uthenticatedintheway(ifany)

5 DescribedintheUserDocumentationaccompani edbythePassword/ ,information, , ,forms,LettersofSetoff,LettersofIndemnit yexecutedorprocessedbytheuseofBOCI nternet& (existingatthetimeofthisapplicationorope nedbymesubsequently)withtheamountofanytr ansactionmadebytheuseoftheBOCI nternet& & MOBLIE , ,atitsdiscretiontorecordbywhatevermeanst hetransactionswhichareeffectedviaBOCI nternet&MobileBankingFacilityandBOCM obileappsbyme/usandthatsuchrecordsmaybeu sedbytheBankforthepurposeof,amongstother things, srecordsandstatementsofalltransactionspr ocessedbytheuseoftheBOCI nternet& ,CreditCard,loanoranyotherproductorservi ceelectronicallythroughmy/ourBOCI nternet&MobileBankingFacilityandBOCM obileappsaccess,theBankwillacceptsuchdoc umentsincludingbutnotlimitedtoapplicatio ns,forms,LettersofsetoffandLettersofInde mnityasoriginatingfromme/usandaslegallyv alid,andifsuchdocumentsisapprovedbytheBa nkandtherequestedcard,product.

6 Loanorserviceisoffered,theTermsandCondit ionsgoverningtheuseofsuchrespectivecard, product, , ,whichmaybenecessaryforusingBOCI nternet&MobileBankingFacilityandBOCM obileapps,inproperworkingconditionandwit hadequatesafeguardsagainstmaliciousthrea tstosuchequipmentortoBOCI nternet& ,orbyanymanner,whichmightadverselyaffect BOCI nternet& ,fromtimetotimethePassword/s, (includingallinformationanddatarelatingt opaymentbeneficiaries)fromdisclosureto, ,theBankwillnotbeliableforanylossesincur redduetomisuseofcommunicationssenttother egisteredMobileNumberand/ mailcannotbeguaranteedtobeerrorfreeand/o rriskfreeduetotheinherentnatureofsuchtra nsmissionandI/wefurtheragreethattheBanks hallnotbeliableforsucherrorsand/ ,Password/ ,techniques,dataanddesignsrelatingtoBOCI nternet& ,annualfeesandalsowithanyotherliabilitie sinclusiveoflegalfeesorotherstatutorycha rges,ifany,relatingtotheuseofBOCI nternet& , ,I/weshallimmediatelyinformtheBanktodisa bletheBOCI nternet& ,foranylosses,damages.

7 Expenseordetrimentsufferedorincurredbyme /usasaresultoftheBankeffectinganytransac tionorfurnishinganyinformationviaBOCI nternet&MobileBankingFacilityandBOCM obileappswhichmaynothavebeenoriginatedby me/us,unlessI/wehadnotifiedtheBankofthel ossofphoneorSIM,oranymisusethereof, ,lossofcontracts,financiallossesandlosso fdataorlossofgoodwillincurredorsufferedb yme/usasaresultofnonacceptanceofand/orno nadherencetoinstructionsgivenonBOCI nternet& ,theBankcannotanddoesnottakeresponsibili tyorliabilityonthequality, , ,fromtimetotimeintroducenewfacilities/op tionsintoBOCI nternet& ,facilities/optionsthoughaddedsubsequent lytotheactivationoftheUserIDswhetherorno t, , ,MobiledeviceID(s)andallotherinformation concerningmy/ourAccount(s)

8 OrotherwiseinconnectionwiththeBOCS martonlineBanking/BappServicesaswellasfo ranalysis,creditscoring,marketingandcust omersafeguard& ,tootherinstitutions/Governmentdepartmen ts/statutorybodies/ ,incompliancewithalegalorregulatorydirec tives,forcreditratingbyrecognizedcredits coringagencies, ,supplementorveryanyofthesetermsandcondi tionsatitsabsolutediscretionandsuchamend ments, , ,modifyingorreducingtheServicesatanytime ,I/weshallgivetheBanknotlessthansevenday spriornoticeinwritingandforthwithreturna nydocumentrelatingtoBOCI nternet& , ,charges,suit,claims,expensesanddamagest hattheBankshallormaybecausedsustained,in curredorsufferedbyreasonsofusingBOCI nternet&MobileBankingFacilityandBOCM obileappsbyme/usinanymannerwhatsoeverand foranylossand/ormisdirectionofdataintran sitelectronicallyand/orbyreasonsoftheBan kgeneratingand/orissuingand/ordispatchin gtheoriginalpassword/saccordingtomy/ourr equestand/orsubsequentpasswordstomy/ourU serIDatanywrittenrequestand/ , ,I/weagreetoadda"'DynamicAlphaCode"' , , , particulars and signature verifiedYes / NoOperating instructions for joint accounts complied with mandateYes / NoVerified given accounts belong to SingleCIFYes / NoFOR BANK USE ONLY BRANCHI certify that the above account/s maintained by.

9 At our branch and limits stated above are justifiable. Further I certify that I have checked and verified above information for the given accounts. Signature: Branch Manager/CSM/PBO(On Rubber Stamp)PF No/Sig No: ..Date: ..Requested Change has been : Electronic Banking UnitDate: ..FOR BANK USE ONLY ELECTRONIC BANKING UNITD ebit Card HolderNameNICS ignature123I / We have no objections in giving Debit card / Internet banking facilities to Ms..Yes / NoApplicant/ Guardian SignatureDate:..I confirm having read and understood the Terms & Conditions applicable for the above facilities, and agree to comply with and be bound by BY JOINT ACCOUNT HOLDER (S)DECLARATION BY CUSTOMERGENERAL TERMS AND ,supplementorvaryanyofthesetermsandcondi tionsatitsabsolutediscretionwithnoticeto me/usandsuchamendments, ,varyaddoramendtheseprivilegesandconditi onsattachedthereto,fromtimetotime, ,innoeventshalltheBankberesponsibleorlia bletome/ ,foranyreasonincludinglimitationinactivi ty,violationofterms& ,I/ ,thatI/wehaveprovidedtotheBank.

10 (email,SMS) ,demands&damagesarisingoutoforinanywayco nnectedwithdispute(s). have receivedI have seen the demonstration ofDebit Card and PIND ebit cardYes / NoInternet banking (Login and PIN)Internet bankingYes / NoYes / NoApplicant/GuardianSignatur