Enrollment - Security Information


This is Step 2 of the enrollment process. The information you provide here helps to verify your identity and ensure that your enrollment is as accurate and secure as it can be. This is also where you choose the user name and password you want to use with SampleBank.

Please complete the information on this page and click Continue.

Security Information

Birth Date:

(mm/dd/yyyy)

Social Security Number:

(xxx-xx-xxxx)
Driver's License Information
Do you have a valid driver's license?
No
Yes (If yes, complete the following driver's license information.)

Driver's License Number:

Driver's License State:
Address on Driver's License:
 Same as My Current Address
Same as My Previous Address
Different Address  (Complete the following address information.)
 

Address 1:

 
 
Address 2:
 (Optional)
 

City:

 
State:
 

ZIP Code:

   

Do you keep this information private?

Why do you want my birth date and SSN?
Why do you want my driver's license information?


What if the address on my driver's license is not my current address or my previous address?

User Name and Password

Type a user name that you can remember and a password that no one else can guess. Your password can be between four and eight characters, either letters or numbers, but no spaces. Your user name and password are case sensitive.
User Name:
Password:
Confirm Password:
Secret Word:
(In case you forget your password)
   


What do I use my user name and password for?

When do you use my secret word?

What if I forget my secret word?