Term Deposit Form

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First Name / पहला नाम *

Last Name / अंतिम नाम

Mobile Number / मोबाईल नं *

Select State / राज्य*

Nearest Branch / निकटतम शाखा *

PinCode / पिन कोड *

Account Type *

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I, declare that the information I have provided is accurate & complete to the best of my knowledge. I give my consent to Ujjivan small finance bank and its representative to contact me through call/email and/or send a text through SMS.

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Term Deposit Form