If you have ever been the victim of credit card fraud, you know the importance of Chargeback Form Icici Bank. This document allows you to dispute any unauthorized charges on your account, and can be a lifesaver in emergency situations. By following the charge back process outlined by your bank, it is possible to get your money back quickly and hassle-free. However, there are a few things to keep in mind when filing a chargeback so that the process goes as smoothly as possible. Keep reading for tips on how to protect yourself from credit card fraud, and what to do if it happens to you.
| Question | Answer |
|---|---|
| Form Name | Charge Back Form Icici Bank |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | transaction dispute form icici, icici bank dispute form online submission, icici bank transaction dispute form, icici bank dispute form |
Transaction Charge Back Form For Disputed Transactions
To be filled in by the Bank Official:
Date of Receipt:
Officer Code:
FIELDS WITH * (STAR) ARE COMPULSORY. Please fill all the details in CAPITAL LETTERS and BLACK INK only.
To,
The Manager Operations,
b2 Banking,
ICICI Bank Ltd.,
Mumbai
Date:
I am disputing the transactions for the following product (Please tick the product for which you have the dispute)
b2 Savings Account No:
b2 eWallet No:
b2 Credit Card Account No:
b2 Virtual Credit Card No:
Service Request No:
Personal Details
*Customer Name:
Mr./ Ms./ Dr. |
Applicant Name |
Reason For Dispute
I am disputing the following transactions for the reasons below
I had lost my card on |
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charges are on the lost card. |
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I did not receive the card and I have not incurred or authorized these charges. ( Applicable only for Physical b2 Credit Card)
I have neither incurred nor authorized the below transactions, the card was always in my possession.
The card was stolen from me on |
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a.m./p.m. All charges were on the Stolen card. I am enclosing a copy of the FIR |
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filed with Police. |
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Details of Disputed Transactions
Transaction Date
Merchant Name
Transaction Amount
Additional Comments:
Document Check List (I have attached along with this application the following documents)
FIR Copy
Declaration (I have attached along with this application the following documents)
I hereby confirm that the information furnished above is true and to the best of my knowledge and I authorise you conduct Investigations and take legal actions against culprit if necessary.
Customer’s Signature
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