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  • Atm Trans Complint Form New-December 15 2010

    Uploaded by

    Bernard Ekoh
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    This document is an ATM/Point of Sale (POS) transaction complaint form. It requests information such as the customer's name, account number, debit/ATM card number, and contact details. For POS complaints, it asks for details of the transaction like the requested purchase amount, amount debited, date and time. For ATM complaints, it asks for details of the cash withdrawal like the amount requested and dispensed, amount debited, date and time. The form must be filled completely and accurately, and submitted to the branch along with any available transaction receipts.

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    This document is an ATM/Point of Sale (POS) transaction complaint form. It requests information such as the customer's name, account number, debit/ATM card number, and contact details. For POS complaints, it asks for details of the transaction like the requested purchase amount, amount debited, date and time. For ATM complaints, it asks for details of the cash withdrawal like the amount requested and dispensed, amount debited, date and time. The form must be filled completely and accurately, and submitted to the branch along with any available transaction receipts.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    16 views1 page

    Atm Trans Complint Form New-December 15 2010

    Uploaded by

    Bernard Ekoh
    This document is an ATM/Point of Sale (POS) transaction complaint form. It requests information such as the customer's name, account number, debit/ATM card number, and contact details. For POS complaints, it asks for details of the transaction like the requested purchase amount, amount debited, date and time. For ATM complaints, it asks for details of the cash withdrawal like the amount requested and dispensed, amount debited, date and time. The form must be filled completely and accurately, and submitted to the branch along with any available transaction receipts.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    ATM / POINT OF SALE TRANSACTION COMPLAINT FORM

    1. CUSTOMER INFORMATION *

    NAME OF THE CUSTOMER : ______________________________________________________________________

    ACCOUNT NUMBER : ______________________________________________________________________

    DEBIT/ATM CARD NUMBER : ______________________________________________________________________

    CONTACT NUMBER : ______________________________________________________________________

    COMPLAINT TYPE : ¨ Purchase/POS (Point of sale) ¨ ATM

    2. POS INFORMATION 3. ATM INFORMATION

    Do you have the POS receipts? : ¨ YES ¨ NO


    Which bank’s ATM __________________________________________________
    (If YES, please enclose the POS slip with this Form while submitting
    ATM ID ___________________________________________________________
    Details Of POS Transaction*
    Do you have the ATM receipts*? ¨ YES ¨ NO
    REQUESTED PURCHASE AMOUNT Rs. _______________________________ (If YES, please enclose the ATM slip with this form while submitting)
    AMOUNT DEBITED Rs. _____________________________________________ Details of Cash Withdrawal *
    DATE OF TRANSACTION _______/______/_______ (DD/MM/YY) AMOUNT REQUESTED FOR WITHDRAWAL Rs. _________________________
    TIME OF TRANSACTION ____________________________________________ AMOUNT ACTUALLY DISBURSED AT ATM Rs.___________________________

    AMOUNT DEBITED Rs.______________________________________________

    DATE OF TRANSACTION_______/______/_______ (DD/MM/YY)

    TIME OF TRANSACTION ____________________________________________

    FOR BRANCH USE:


    Trace ID/Transaction Number* : ______________________________________________________________________
    Employee ID/ Name* :______________________________________________________________________ CLIENT SIGNATURE

    Additional Details :

    Terms and Condition:-


    1. Without filling the mandatory* fields, the ATM/POS complaint form will not be accepted by the Bank. For any guidance, please call BBP/Branch.
    2. Please submit the form at the branch along with transaction slip (If available )
    3. Please ensure all details provided are accurate.

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