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    Dispute Form: Urgent!

    Uploaded by

    babateh
    1) The document is a dispute form from CIMB Bank requesting cardholders to complete and return it within 14 days to investigate disputed charges on their credit card statement. 2) It informs cardholders that a RM15 fee will be charged if after investigation the disputed transactions are found to be in order. 3) The form requires cardholders to provide their name and contact details, select a reason for disputing transactions from a list of options, and sign and return the form.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Dispute Form: Urgent!

    Uploaded by

    babateh
    22 views2 pages
    1) The document is a dispute form from CIMB Bank requesting cardholders to complete and return it within 14 days to investigate disputed charges on their credit card statement. 2) It informs cardholders that a RM15 fee will be charged if after investigation the disputed transactions are found to be in order. 3) The form requires cardholders to provide their name and contact details, select a reason for disputing transactions from a list of options, and sign and return the form.

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    Dispute_Form_(1).docx

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    1) The document is a dispute form from CIMB Bank requesting cardholders to complete and return it within 14 days to investigate disputed charges on their credit card statement. 2) It informs cardholders that a RM15 fee will be charged if after investigation the disputed transactions are found to be in order. 3) The form requires cardholders to provide their name and contact details, select a reason for disputing transactions from a list of options, and sign and return the form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views2 pages

    Dispute Form: Urgent!

    Uploaded by

    babateh
    1) The document is a dispute form from CIMB Bank requesting cardholders to complete and return it within 14 days to investigate disputed charges on their credit card statement. 2) It informs cardholders that a RM15 fee will be charged if after investigation the disputed transactions are found to be in order. 3) The form requires cardholders to provide their name and contact details, select a reason for disputing transactions from a list of options, and sign and return the form.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    URGENT!

    DISPUTE FORM
    In order for us to continue our investigation, please complete, sign and promptly return this letter
    via fax or mail. Kindly return this letter to us within 14 days from the card statement receipt date
    else we will assume the charge is in order. Please enclose statement of account or copies of
    documents, which is relating to the disputed charges. Sales draft retrieval fee of RM15.00 will be
    levied if transactions are found to be in order.
    The Manager,
    CIMB BANK BERHAD / DIRECT ACCESS
    Level 2, Menara SBB
    83, Jln Medan Setia 1, Plaza Damansara
    Bukit Damansara, 50490 Kuala Lumpur
    Cardholder Name

    [MB Card Centre


    Tel : 03 62047788

    Fax: 03 - 23817198

    Direct Access
    Tel : 03 62047878

    Fax : 03 - 20953690

    No

    Merchant Name

    Transaction
    Date

    Amount (RM)

    Reference Number (ARN)

    Please tick one category that best describe your reason for disputing the transaction(s).
    I certify that the above charge was neither made nor authorized by me or my
    supplementary cardholder.
    I have been [ ] double [

    ] triple charged.

    I participated in only ONE transaction at the above merchant location but did not engage nor authorize the
    above transaction and my card was in my possession and control at the time of the questioned transaction.
    The enclosed credit voucher has not been applied to my account.
    I have paid for this transaction by other means and enclose my proof of payment.
    I would like to request a copy of the sales draft of the above transaction(s). I understand that there are
    additional charges levied to my account.
    My credit card was lost / stolen on this date [
    time ] Enclosed here with the police report for Bank references.

    ] and

    Others, please specify:

    Signature of cardholder :__________________ Name


    I.0 No (old) _________________________________________________ new

    [
    [

    Date:__________________

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