Embarking on the journey of resolving a transaction dispute with HSBC can be a complex task, necessitating a thorough understanding of their Credit Card Dispute Form. Revised in April 2009, this particular document is designed to meticulously capture all the essential details required by the bank to investigate a disputed transaction. Applicants are required to provide comprehensive information, including the card number, cardholder's name, transaction date, merchant name, and the disputed amounts in both Pakistani Rupees and U.S. Dollars. The form is ingeniously structured to help cardholders pinpoint the exact nature of their dispute, ranging from unauthorized transactions to billing errors, non-receipt of goods or services, duplicate charges, and even issues relating to ATM withdrawals. Additionally, it mandates the submission of supporting documentation such as sales slips, credit vouchers, and cancellation letters, depending on the nature of the dispute. In acknowledging the possibility of a transaction being valid, the form outlines the fees applicable for each disputed entry, emphasizing the cardholder's responsibility in case the dispute is resolved in the merchant's favor. The form also illustrates HSBC's commitment to a detailed investigation process that may extend up to 180 days, emphasizing the requirement for additional information or affidavits from the customer, if necessary, thereby safeguarding both the customer's interests and the bank's integrity. This process encapsulates HSBC's structured approach to dispute resolution, highlighting both the complexities and responsibilities incumbent upon the cardholder to substantiate their claim.
| Question | Answer |
|---|---|
| Form Name | Hsbc Credit Card Online Application Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Karachi, hsbc credit card application, MasterCard, hsbc credit card apply |
REV_APR’ 2009
|
CREDIT CARD DISPUTE FORM |
Date: _________________ |
|||||||||||||||||||
Card Number: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cardholder Name:__________________________________________________________________ |
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
||||||||||||
Transaction |
|
|
|
|
Merchant Name |
Amount in |
|
Amount in |
|||||||||||||
S.#. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Date |
|
|
(as appears in credit card statement) |
Pak Rupee's |
US Dollars |
||||||||||||||||
1
2
3
I dispute the above transactions appearing on my HSBC Credit Card Statement for the following reason; (Note: Disputes should be reported to the bank within 45 days from the transaction processing date).
PLEASE TICK AS APPLICABLE
I have neither participated in nor authorised the above transactions. The card was in my possession at all times.
The billed amount is incorrect. I have signed for Rs. _____________________. (Please provide a copy of your sales slip)
I have already been billed for the above transaction on dated___________________________________ (Billing Month)
I have paid for this transaction by other means. (Please provide proof of alternate payment.)
Cheque |
Cash |
Other_______________ __________________________________________ |
I have not received the Goods / Services. (Please provide a copy of the merchant's delivery terms and your correspondence with the merchant, if any.)
This is a recurring transaction / subscription. I have cancelled this on dated ____________________________________.
(Please provide merchant terms & condition along with cancellation letter sent to the merchant.)
Credit is still not processed by the merchant dated____________________ (Please provide copy of your credit voucher)
I did not receive the requested cash at the ATM. (Please provide transaction slip as evidence for partial payment)
Partial Amount Received |
Yes |
No (If yes please mention amount Rs.__________ USD$__________) |
Unauthorized Internet Charge |
Yes |
No (Please provide email ID ______________________________ & |
other
I agree to the transaction for Rs. ________________ dated ________________ at_________________________,
BUT, do not agree to the above additional transactions by the same merchant without my authorization. (Please provide a copy of your sales slip).
Hotel / Resort Charges: (Please tick mark the relevant detail)
Reservation request date: From _______________to_______________(Please provide reservation number___________)
Reservation made by |
|
Phone |
Fax |
Internet |
Other____________________ |
Facility was utilized |
Yes |
No |
: From _____________to_____________ (Please provide copy of guest folio) |
||
The transaction has been cancelled on dated_______________________________________________ with cancellation
number____________________(Please provide term & condition policy)
Were you advised of "no show' policy |
Yes |
No |
Dispute related comments (if any):__________________________________________________________________________
Should the charge proved to be valid, I am responsible for the payment of PKR 350.00 (MasterCard Local) & PKR 900.00 (MasterCard Foreign & Visa Local and Foreign) on each disputed entry and the liabilities billed by you in addition to the accrued services fees if any. Further I endorse that I shall stand by the truth of this statement for subsequent legal enquiries by the bank/Law enforcement authorities (if any). I understand that the investigation may take upto 180 days to resolve and that the bank reserves the right to reverse any interim credit given in this regard. Where HSBC requires, the Customer shall provide an Affidavit in form prescribed by HSBC along with any further information requested by HSBC for investigation and resolution of the disputed transactions claimed by the Customer."
SIGNATURE OF THE CARDHOLDER: _____________________________
HSBC Bank Middle East Limited
Unsecured Business – Dispute Resolution Unit
Bahria Complex III, 7th Floor, Maulvi Tameezuddin Khan Road, Karachi – Pakistan.
UAN: (9221)