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Transaction Error Form

Transaction error

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mkaosara25
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23 views

Transaction Error Form

Transaction error

Uploaded by

mkaosara25
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CONFIDENTIAL

E-CHANNEL TRANSACTION COMPLAINT FORM

ACCOUNT NAME ___________________________________________________________________________


Surname First Name Middle Name

ACCOUNT NUMBER (S) _______________________________________________________________________

DISPUTED AMOUNT _________________________________________________________________________

BENEFICIARY ACCOUNT NAME ________________________________________________________________

BENEFICIARY BANK /ACCOUNT NUMBER _________________________________________________________

DATE/TIME OF TRANSACTION _____/_____/_____/________________________________________________

TRANSACTION TYPE (TICK AS APPROPRIATE)


INTERNET BANKING MOBILE APP USSD

CARD TYPE (TICK AS APPROPRIATE) FOR ATM TRANSACTION


MASTERCARD VISA VERVE OTHERS________________

Amount Requested Amount Dispensed Terminal Location


1.__________________________ 1.__________________________ 1._________________________
2.__________________________ 2.__________________________ 2._________________________
3.__________________________ 3.__________________________ 3._________________________
Please state any additional comment below:
________________________________________________________________________________________
Thank you.
SIGNATURE ____________________________ DATE: ______________
Please ensure all forms are signature verified

FOR OFFICIAL USE ONLY

CSU SIGN _____________ DATE ___/___/____ STATUS: ACCEPTED DECLINED


If declined, state reasons________________________
PROCESSED BY: _________________________ RESOLVED UNRESOLVED FOR FUTHER CLEARANCE
RESOLVED AT LATER DATE _____/_____/ _____

GROOMING MICROFINANCE BANK LTD. E-channel Transaction Complaint Form. (NOTE: All transactions are resolved 24hrs from initiation)

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