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Get India RBL Bank Transaction Dispute Form

Tant, to allow us to get in touch with you for further clarification) Details of the Disputed Item(s) Transaction Date Statement Date Merchant Name Transaction Amount Disputed Amount You can use a separate annexure if disputed transactions are more than specified in box above. DECLARATION: I am disputing the transaction(s) listed above for the reason as follows: Reason for Dispute Details Mandatory Documents Required Lost / Stolen Card*** Card lost / stolen on ___/___/___ at _____a.m/p.

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