Hong Leong Bank Dispute Form PDF Details

In today's increasingly digital world, managing financial transactions meticulously becomes paramount, especially with the frequent use of credit and debit cards. The Hong Leong Bank Dispute Form stands out as a crucial tool, designed meticulously to address situations where cardholders find discrepancies in their statements. This form serves as a communication bridge between the cardholder and the bank, allowing consumers to formally contest unauthorized or incorrect transactions recorded on their accounts. Offering a detailed structure, the form prompts the user to fill out essential information such as cardholder name, Visa/Mastercard number, and the specifics of the disputed transactions—listing the transaction date, merchant name, and amount. It covers a wide array of dispute reasons, from unauthorized transactions—whether the card was in the holder's possession or not—to being charged more than once for the same transaction, discrepancies in charged amounts, and issues regarding non-receipt of merchandise or services. Furthermore, it renders aid in requesting sales drafts and dealing with unauthorized subscriptions or hotel reservation charges. By submitting this declaration, complete with a signature and crucial contact information, users assert their stance on the dispute, hoping for a resolution that rectifies the discrepancies identified. It’s noteworthy that, effective April 1, 2015, the form mentions a microfilm copy charge applicable under certain circumstances, emphasizing the financial implications and the stringent procedures involved in managing such disputes.

QuestionAnswer
Form NameHong Leong Bank Dispute Form
Form Length1 pages
Fillable?Yes
Fillable fields39
Avg. time to fill out8 min 7 sec
Other nameshong leong bank statement, hong leong disbute form, hong leong bank, hlb dispute form

Form Preview Example

 

 

Hong Leong Bank CARD CENTRE

 

 

Email Add: HLOnline@hlbb.hongleong.com.my

 

 

 

Date

________________________________________________________________________________

Cardholder Name

:_________________________________________________________________________________

Visa/Mastercard

No :_________________________________________________________________________________

I have examined my Credit/Debit Card Statement of account and I would like to dispute the following transaction(s):-

Transaction DateMerchant NameAmount (RM)

1.

2.

3.

4.

5.

(Please check the category[s] that describe the reason for disputing the transaction[s])

I confirmed that the transaction(s) billed was/were not authorized by me and my card was in my possession and control at the time of the said transaction(s).

I confirmed that the transaction(s) billed was/were not authorized by me and my card was NOT in my possession and control at the time of the said transaction(s).

I have been billed more than once for the same transaction.

I have paid in full for the transaction(s) by cash/cheque/other credit card (attached a copy of the Cash Receipt/Sales Voucher).

I did not receive credit for the enclosed credit voucher.

The amount of the sales draft has been wrongly charged. The correct amount should be ___________ instead of ___________.

Enclosed is my copy of the sales draft prior to the alteration.

I have yet to receive the merchandise/service for the above transaction. The expected delivery/service date was ____________.

I have notified the merchant to cancel my monthly/yearly subscription on ______________and since then my account has been

charged ___________ times. Enclosed please find the cancellation letter.

I would like to request sales draft for my reference.

I participated in only ONE transaction of the above merchant location, but did not engage nor authorize the above transaction and my card was in my possession and control as the time of the questioned transaction.

I cancelled my hotel reservation on __________________(DD/MM/YY) at ____________________am/pm

I do not recognize the transaction (please tick accordingly) (

) Merchant Name (

) Merchant Location

(

)Transaction Date (

) Others:__________________________

Others________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

I make this solemn declaration conscientiously believing the same true and without prejudice to any party

___________________

(Signature)

 

Identity Card No (New/Old)

:______________________________________

Telephone (Office/House/Handphone) :______________________________________

Email Add

:______________________________________

EFFECTIVE 1 APR 2015, there will be a microfilm copy charge of RM20 (subject to Government Tax, if applicable) each for Visa/MasterCard should the transaction(s) proved to be authorized by the Cardholder. The Bank will debit the transaction(s) together with the interest if it is found to be your transaction(s).

Updated 01/06/2018

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