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  • Customer (Transaction) Dispute Form To, Yes Bank LTD Card Operations One Indiabulls Park, Yes Bank Towers, 3 Floor, Plot No. 14, 3Rd Main Road, Ambattur Industrial Estate, CHENNAI - 600058

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    Ravikiran
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    The document is a customer dispute form for YES BANK regarding debit card transactions. It lists transaction details that the customer disputes and provides reasons for disputes such as unauthorized transactions, card loss or theft, duplicate billing, goods or services not received, failed transactions, defective or incorrect products, cancelled transactions, difference in charged amount, and hotel reservation cancellations. The customer declares that the information provided is true and correct and agrees to pay any charges if the dispute is found to be invalid.

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    The document is a customer dispute form for YES BANK regarding debit card transactions. It lists transaction details that the customer disputes and provides reasons for disputes such as unauthorized transactions, card loss or theft, duplicate billing, goods or services not received, failed transactions, defective or incorrect products, cancelled transactions, difference in charged amount, and hotel reservation cancellations. The customer declares that the information provided is true and correct and agrees to pay any charges if the dispute is found to be invalid.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    192 views1 page

    Customer (Transaction) Dispute Form To, Yes Bank LTD Card Operations One Indiabulls Park, Yes Bank Towers, 3 Floor, Plot No. 14, 3Rd Main Road, Ambattur Industrial Estate, CHENNAI - 600058

    Uploaded by

    Ravikiran
    The document is a customer dispute form for YES BANK regarding debit card transactions. It lists transaction details that the customer disputes and provides reasons for disputes such as unauthorized transactions, card loss or theft, duplicate billing, goods or services not received, failed transactions, defective or incorrect products, cancelled transactions, difference in charged amount, and hotel reservation cancellations. The customer declares that the information provided is true and correct and agrees to pay any charges if the dispute is found to be invalid.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    CUSTOMER (TRANSACTION) DISPUTE FORM

    To,
    YES BANK LTD
    CARD OPERATIONS
    ONE INDIABULLS PARK,
    YES BANK TOWERS, 3RD FLOOR,
    PLOT NO. 14, 3RD MAIN ROAD,
    AMBATTUR INDUSTRIAL ESTATE,
    CHENNAI - 600058.

    Debit card No.: Date:


    Account No.:

    I am disputing the transaction(s) listed for the below given reason(s)

    Transaction Date Merchant Establishment Name Transaction Amount Dispute Amount

    Dispute Reasons: Please tick Only the most appropriate option

     I have neither authorized nor participated in this transaction(s).


     Card was not in my possession and was lost/stolen/not received (tick as appropriate)
     Duplicate/Multiple billing. I have done only ____ transaction(s) but I was billed ______ (No. of times).
     Paid by other means (enclose proof of payment made by cash/cheque/other bank card)
     Goods/Services not received – I expected to receive goods / services by ___________ against the above charge(s)
    from the Merchant Establishment. I have not received the same on time and have contacted the Merchant
    Establishment (herewith providing copy of my correspondence with the Merchant Establishment)
     Failed Transaction(s): I have attempted the above transaction(s), but it was unsuccessful. However my
    account has been debited. (herewith providing copy of my correspondence with the Merchant Establishment)
     Defective Product / Product not as described: I am disputing the goods/services received as Defective /
    Not as Described.
     Returned the product to Merchant on __________ (date) by ___________ (mode) (please enclose proof)
     Cancelled Transaction: I had cancelled the Membership/Subscription/Booking on ________ against the
    above charge (please enclose cancellation proof)
     Credit not received: Merchant has given a refund confirmation void / credit slip for an amount of
    Rs._______ on (please enclose proof)
     Difference in Amount charged: I was debited for whereas the actual transaction amount was
    _________ (please enclose a copy of the bill)
    HOTEL RESERVATION
     I have cancelled the reservation on dt. ___________ under the cancellation code _______________.
     I have not made any reservation
     Others (Please explain in detail. Please attach a separate letter if necessary).
    ______________________________________________________________________________________________
    _______________________________________________________________________________ _______________

    I declare that above given information is true and correct to my knowledge. In case, if any of the information mentioned above is found to be incorrect
    and misleading, YES BANK has the right to reject the dispute. I understand that I can be held liable for all charges incurred if dispute raised by me is
    found to be invalid. I agree to pay the charges levied by YES BANK for the same including any cost and expenses incurred for investigation of my
    disputed transaction(s). YES BANK may contact me whenever it requires any further information and I agree to co-operate with YES BANK in every
    manner possible.

    Account Holder Name: Account Holder Signature:

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