Get Prepaid Card Replacement Application Cum Acknowledgement Form

Filling out the Prepaid Card Replacement Application Cum Acknowledgement Form online is a straightforward process. This guide will walk you through each section of the form, ensuring your information is accurately recorded and submitted.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor. This will enable you to start filling out your application seamlessly.
2. Begin by entering your personal details in BLOCK LETTERS. This includes your name as it appears on the card, date of birth, present address, city, state, and PIN code. Ensure all information matches the original application form. Provide your telephone and mobile numbers.
3. In the declaration section, indicate the status of your prepaid card by selecting one of the options: expired, lost/stolen, or damaged/not working. Specify the type of card you are requesting a replacement for, such as a Pay Direct card, Corporate Gift card, Meal card, Semi-Closed card, or Retail Gift card.
4. If applicable, include your old prepaid card number, especially if it is tied to your previous transactions. This helps in the processing of your request.
5. Fill in the place and date fields as mentioned in the form. Ensure you complete these fields correctly for proper record-keeping.
6. Sign the application form in the designated area to acknowledge your request for a replacement card.
7. In the acknowledgement section, confirm receipt of the replaced card number and reference number provided to you. Authorize the transfer of the remaining balance from your old card to the new card and confirm your acceptance of the replacement charge of ₹199 plus service tax.
8. Complete the acknowledgment by providing the place and date, followed by your signature. Ensure your signature matches the one on your initial card for verification purposes.
9. After completing all sections, ensure all changes are saved. You may download, print, or share the form based on your needs.

Start your online form submission today for a hassle-free prepaid card replacement process.