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Get Dispute Form 13-4-2017

Rmation mentioned above is found to be incorrect, the Bank has the right to reject the dispute. I understand that I will be held liable to pay the disputed amount along with all the associated charges incurred, if the dispute raised by me is found to be invalid. CUSTOMER SIGNATURE DATE : SR NUMBER (for office use only): *For unauthorised transactions: I also declare at the time of transaction, the card was: In my possession Lost Stolen Not received IMPORTANT NOTE T.

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