www.tjsbbank.co.in
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2607:fc48:bc4b::bc:238
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Submitted URL: http://email.click2redirect.me/ls/click?upn=6Zx57d02W-2Bi-2BJHqESYwSXSXxtnog0HYPjT5PulZ5JYgHVglzwH36rPUaucgQt-2BsTr3w6DbluEG10d...
Effective URL: https://www.tjsbbank.co.in/QR-apply-now
Submission: On December 22 via api from IN — Scanned from DE
Effective URL: https://www.tjsbbank.co.in/QR-apply-now
Submission: On December 22 via api from IN — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://www.tjsbbank.co.in/Form/submit_apply_QR
<form action="https://www.tjsbbank.co.in/Form/submit_apply_QR" onsubmit="return check();" method="post" accept-charset="utf-8">
<!--<form method="post" onsubmit="return check();" action="https://www.tjsbbank.co.in/Form/submit_apply_QR">-->
<div id="ifYes">
<input type="hidden" value="Contact">
<div class="row p-l30 p-r30">
<div class="col-md-4 ">
<div class="form-group">
<input name="fname" id="name" type="text" required="" class="form-control" pattern="[a-zA-Z\s]+" placeholder="First Name">
</div>
</div>
<div class="col-md-4 ">
<div class="form-group">
<input name="lname" id="name" type="text" required="" class="form-control" pattern="[a-zA-Z\s]+" placeholder="Last Name">
</div>
</div>
<div class="col-md-4 ifNo" id="">
<div class="form-group">
<input name="entity_name" id="name" type="text" class="form-control" placeholder="Business/Entity Name">
</div>
</div>
</div>
<!--<div class="row">-->
<!--</div>-->
<div class="row p-l30 p-r30">
<div class="col-md-4">
<div class="form-group">
<input name="phone" id="phone" type="text" required="" class="form-control" pattern="^[7-9]\d{9}$" oninvalid="setCustomValidity('Please enter a valid Mobile No. to continue')" oninput="setCustomValidity('')" maxlength="10"
placeholder="Mobile No.">
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<input name="email" id="email" type="email" class="form-control" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,4}$" required="" placeholder="Email id" oninvalid="setCustomValidity('Please enter a valid Email id to continue')"
oninput="setCustomValidity('')">
</div>
</div>
</div>
<div class="row p-l30 p-r30">
<div class="col-md-4">
<div class="form-group">
<select name="state" id="state" class="form-control bs-select-hidden" required="" placeholder="State">
<option value=""> State</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Karnataka">Karnataka</option>
</select>
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" data-id="state" title="State"><span class="filter-option pull-left"> State</span> <span
class="caret fa fa-caret-down"></span></button>
<div class="dropdown-menu open">
<ul class="dropdown-menu inner" role="menu">
<li data-original-index="0" class="selected"><a tabindex="0" class="" style="" data-tokens="null"><span class="text"> State</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">Maharashtra</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">Goa</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">Gujarat</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">Madhya Pradesh</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="5"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">Karnataka</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="col-md-4" id="city_div">
<div class="form-group">
<select name="city" id="city" class="form-control bs-select-hidden" placeholder="City">
<option value="">City</option>
</select>
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" data-id="city" title="City"><span class="filter-option pull-left">City</span> <span
class="caret fa fa-caret-down"></span></button>
<div class="dropdown-menu open">
<ul class="dropdown-menu inner" role="menu">
<li data-original-index="0" class="selected"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">City</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="col-md-4" id="branch_div">
<div class="form-group">
<select name="branch" id="branch" class="form-control bs-select-hidden">
<option value=""> Branch</option>
</select>
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" data-id="branch" title="Branch"><span class="filter-option pull-left"> Branch</span> <span
class="caret fa fa-caret-down"></span></button>
<div class="dropdown-menu open">
<ul class="dropdown-menu inner" role="menu">
<li data-original-index="0" class="selected"><a tabindex="0" class="" style="" data-tokens="null"><span class="text"> Branch</span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
<div class="row p-l30 p-r30">
<div class="col-md-4 ifNo" id="">
<div class="form-group">
<select name="acc_type" id="acc_type" class="form-control bs-select-hidden" placeholder="Account Type" required="">
<option value="">Account Type </option>
<option value="Savings Account"> Savings Account </option>
<option value="Current Account"> Current Account </option>
<option value="Cash Credit"> Cash Credit </option>
<option value="Overdraft"> Overdraft </option>
</select>
<div class="btn-group bootstrap-select form-control"><button type="button" class="btn dropdown-toggle btn-default" data-toggle="dropdown" data-id="acc_type" title="Account Type"><span class="filter-option pull-left">Account Type
</span> <span class="caret fa fa-caret-down"></span></button>
<div class="dropdown-menu open">
<ul class="dropdown-menu inner" role="menu">
<li data-original-index="0" class="selected"><a tabindex="0" class="" style="" data-tokens="null"><span class="text">Account Type </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="1"><a tabindex="0" class="" style="" data-tokens="null"><span class="text"> Savings Account </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="2"><a tabindex="0" class="" style="" data-tokens="null"><span class="text"> Current Account </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="3"><a tabindex="0" class="" style="" data-tokens="null"><span class="text"> Cash Credit </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
<li data-original-index="4"><a tabindex="0" class="" style="" data-tokens="null"><span class="text"> Overdraft </span><span class="glyphicon glyphicon-ok check-mark"></span></a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="col-md-4 ifNo" id="city_div ">
<div class="form-group">
<input name="acc_no" id="acc_no" type="text" class="form-control" required="" placeholder="Account Number" pattern="[0-9]+" minlength="15" maxlength="15" autocomplete="off">
</div>
</div>
</div>
<div class="row p-l30 p-r30 ifNo">
<div class="col-md-12">
<p>Note : Your account number is printed on your cheque book/ pass book</p>
</div>
</div>
<div class="row p-l30 p-r30 ">
<div class="col-md-12">
<p>To locate us, please <a href="https://www.tjsbbank.co.in/branch-locator" target="_blank"> <span style="color:#ff8800">Click here</span></a></p>
</div>
</div>
<div class="row p-l30 p-r30">
<div class="col-md-11">
<div class="form-group app_now_left">
<label>
<input type="checkbox" class="checkbox" name="checkbox" value="checkbox" required="">
<!--<p> I authorise TJSB Bank and its representatives to call me or SMS me with reference to my application.This consent will override any registration for DNC / NDNC. I have read and acknowledge TJSB Bank's data privacy notice.-->
<!-- </p> -->
</label>
</div>
<div class="form-group">
<span class="text-chk">I agree to the Terms and Conditions and authorize TJSB Sahakari Bank Ltd. to contact me. This will override the registry with DNC / NDNC. </span>
</div>
</div>
</div>
<div class="row p-l30 p-r30">
<div class="col-md-11">
<div class="form-group">
<div class="input-group">
<div class="g-recaptcha" data-sitekey="6LcqG-AUAAAAAOs4o1NATOhHY3A0J8V-_ftGFcy6">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcqG-AUAAAAAOs4o1NATOhHY3A0J8V-_ftGFcy6&co=aHR0cHM6Ly93d3cudGpzYmJhbmsuY28uaW46NDQz&hl=de&v=5qcenVbrhOy8zihcc2aHOWD4&size=normal&cb=9gjzammpdu5v"
width="304" height="78" role="presentation" name="a-irs3n0v0zj1o" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
</div>
</div>
</div>
<p class="otp_msg" style="margin-bottom:0px;"></p>
<div class="col-md-12">
<center>
<button type="submit" value="Submit" class="site-button " style="background-color:#d90000"> <span>Submit </span> </button>
</center>
<input type="hidden" name="random_no" value="133892" required="">
</div>
</div>
</form>Text Content
APPLICATION FORM - QR CODE * Home Existing Customer? Yes No State Maharashtra Goa Gujarat Madhya Pradesh Karnataka State * State * Maharashtra * Goa * Gujarat * Madhya Pradesh * Karnataka City City * City Branch Branch * Branch Account Type Savings Account Current Account Cash Credit Overdraft Account Type * Account Type * Savings Account * Current Account * Cash Credit * Overdraft Note : Your account number is printed on your cheque book/ pass book To locate us, please Click here I agree to the Terms and Conditions and authorize TJSB Sahakari Bank Ltd. to contact me. This will override the registry with DNC / NDNC. Submit x Hey, I am PAi, Personal AI from NPCI. You can ask me questions about digital payments. Do you know! How can I track my complaint status 2 Powered by CoRover