How to fill Andhra bank ATM cum Debit Card Application form

Andhra Bank Debit card Application form: Andhra Bank ATM Debit Card is one of the key banking instrument that bank offers to its customers. Andhra Bank ATM Debit card comes with loaded features that allows its bank customers to withdraw cash from any ATMs across the country, make payment online, pay at POS, send money to another account through ATM, and many other. Account holder you still doesn’t possess ATM debit card gets confused as to how to fill Andhra Bank debit card application form. When a person fills a new account opening form he sees a column in the form where he can opt for a new ATM Card and the person has to select yes for this facility of ATM Card. He must mention the name to be embossed on the card. But when a person did not opted for a ATM card at the time of account opening form then he needs to visit the Bank home branch and fill up a ATM Cum debit card form and duly submit it at the same branch. Here’s in this post we will guide as to how to fill andhra bank debit card application form.

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How to fill Andhra Bank debit Card Application form

First on the top right corner of the form one has to paste a passport size photo

New/renew/Replacement: If one is applying for a new ATM Card then he should tick on new and in case if one already has the ATM card but he want replacement with the new one, then he should tick on renew and replacement option.

The Manager
Write the name of the branch where you are submitting this form (this form should be submitted in the home branch) Branch

  1. Name:  ( in Full & Block Letter): Write the Account Name in FULL Capital letters
  2. Permanent address in full : Write the full residential address in this column
  3. Address to which PIN is to be sent: Write the address where you want the ATM Pin to be delivered
  4. Mobile: Write the mobile number
  5. Place of Birth: Write the place of your birth
  6. Mother’s Name/Maiden Name: Write your mother name in this column
  7. E mail ID: Write the email ID if you want to specify
  8. Name to be embossed: Write the exact name you want to be printed in the ATM Card
  9. Primary account number: Write the account number for which you wish bank to issue you ATM card.
  10. Secondary account number: If you another account with the same bank in another branch then one has to write the name of the branch and the another account number.
  11. Additional information
    a) Date of Birth: write the date of your birth
    b) Wedding Anniversary: If you are married you can specify your date of marriage in this coloumn


Signature of Joint A/c Holder: if this account is been operated by multiple account holder then the all joint account holder need to sign in this column
Signature of the Applicant: The main Joint account holder or the in case of single account holder, one has to sign in this column
For Branch Use: Leave all entries blank

Video Tutorial in Hindi

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