Primary Customer ID* Date
Name of the Customer
Email Address
Frequency of Statement Savings Account Monthly
Current Account Daily Weekly Monthly
*Terms & Conditions • I/We agree to discontinue the physical statements being sent to me/us • I/We understand that the Email Statements are for
my/our convenience. HDFC Bank shall not be liable or responsible for any breach of secrecy because the Statements are being sent to the above
Email ID • I/We shall verify the authenticity of the Emails I/we receive. I/We shall not hold the Bank responsible for any Statement received from
frauds/imposters. I/We shall not hold the Bank liable if any problem arises with my/our computer network because of me/us receiving Statements from
the Bank • I/We are authorised by the other holders to receive the Statements in the above Email address • I/We shall inform the Bank in writing if
there is any change in the information given above • The Bank shall not be responsible if I/we do not receive Statements due to incorrect Email
address and technical reasons • I/We confirm to have read and understood the Terms & Conditions pertaining to my account (a copy of which I am in
possession of) • This registration will override any "Hold Statement" facility availed in the past
Important Note • The Customer ID mentioned above should be of the primary account holder only • Email Statements will not be despatched incase
a secondary account holder registers for the facility • For customers availing combined monthly statement facility (across Savings, Current and Fixed
Deposit accounts), the combined statements will be discontinued and he/she shall receive separate Email Statements for only Savings and Current
accounts • For Current Accounts please mention the Customer ID of the Company •
The facility is applicable only for Savings and Current Accounts
Individuals
Primary Account Holder
Non-Individuals
Authorised Signatory Authorised Signatory Authorised Signatory
For Bank Use Only:
Customer Signature Verified by: Name Signature
Primary Customer Yes No
Registration Done Date M M D D Y Y
REGISTRATION FORM FOR EMAIL STATEMENTS (INDIVIDUALS & NON-INDIVIDUALS)
M M D D Y Y
Go paperless.
Opt for an Email Account Statement.
Save Trees
Branch Code
LC Code
