Transaction Dispute Form Pnb PDF Details

When an individual encounters discrepancies with transactions made through their Punjab National Bank credit card, the Transaction Dispute Form serves as a crucial tool for addressing these concerns. This document encompasses various scenarios such as unauthorized transactions, suspected fraud, issues of multiple processing, inconsistencies in billed amounts versus the actual transaction amount, cancellations, defective merchandise, uncredited returns, disputes over the quality of goods or services, and even situations where goods or services were not received at all. The form meticulously outlines the procedure for cardholders to protest against such discrepancies by providing detailed information about the disputed transactions, including the merchant's name, transaction amount, and reason for the dispute. Additionally, it mandates the submission of supporting documents such as sales slips, receipts, and any correspondence with merchants to facilitate the review process. The form also highlights the importance of timely submission, within 30 days of the statement date, to ensure effective resolution of disputes. Moreover, it alerts cardholders about a potential retrieval fee applied for each transaction dispute processed, reinforcing the bank's commitment to resolving such issues while also emphasizing the procedural formalities involved. Through this form, Punjab National Bank aims to safeguard the interests of its cardholders, ensuring transparency and fairness in the handling of transaction disputes.

QuestionAnswer
Form NameTransaction Dispute Form Pnb
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescharge dispute form for pnb, chargeback form pnb, pnb dispute form, pnb chargeback form

Form Preview Example

TRANSACTION DISPUTE FORM

DATE: ______________

Credit Card No: ______________________________

Telephone/ Mobile No: _________________

Cardholder Name:____________________________

Email Id: ____________________________

Add On Credit Card No. : __________________________

 

Add-on Cardholder Name: __________________________

 

Details of Disputed Transactions:

 

S.No Statement date

Transaction Merchant Name Date

Transaction Amount. (INR)

Disputed Amount. (INR)

Name of Merchant Country___________

Acquirer Reference NO.______________

I am disputing the above listed transaction(s) for the reason (ticked) and mentioned below:-

UNAUTHORIZED TRANSACTION 

I neither made nor authorized above transaction.

LOST/SUSPECTED FRAUD 

My card was (circle one of the following choices below)

A. Lost/Stolen: on Date: __________ Location: _____________

B. Card Never Received

C. Card was in my possession at the time of fraudulent use

MULTIPLE PROCESSING 

I have been charged ----- times for the same transaction. I authorized only one transaction on------

(mention the date). The original amount appeared on my------ (indicate month) statement (enclose

copy of statement)

DIFFERENCE IN AMOUNT 

The amount on my sales slip differs from the amount billed and shown in------ statement(indicate

month) . I am attaching my receipt showing the correct amount. The difference in amount is____________

CANCELLED TRANSACTION 

I cancelled this transaction on ____________(indicate date).I am attaching receipt indicating the

specific reason for the cancellation and cancellation reference numbers.

Cont….

DEFECTIVE MERCHANDISE 

I am disputing the quality of goods/services I received from merchant. I have contacted the merchant/retailer . The response to my request for refund, is stated on annexure attached herewith.

CREDIT NOT RECEIVED 

I was given a credit slip in the amount of _____________on_________ (DD-MM-YYYY) by the merchant

retailer which has not yet appeared on my billing------- Statement (indicate month) The copy of the credit

slip is attached.

PAID BY OTHER MEANS



 

I paid for the transaction by Cash

Cheque Draft

Other credit card. I attach

cash receipt

or copy of cheque / Cheque no. alongwith Bank statement orother credit card

statement.

 

MERCHANDISE RETURNED



I have returned the merchandise and requested a refund from the Merchant retailer and have forwarded a copy of the proof of return to him. I attach proof of return herewith.

NOT AS DESCRIBED



The goods/services are different from what was ordered or described. On attached sheet I have explained what was expected, what was received, and indicated my attempt to return the goods. The proof of return is also attached.

GOODS / SERVICES NOT RECEIVED 

I have not received the goods/services and for that reason,I contacted the Merchant/retailer

on___________(DD-MM-YYYY) . The merchant response to my request for a refund or delivery date is

given on separate attached sheet .The copy of letter to the merchant attempting to resolve the dispute is enclosed.

ATM DISCREPANCY 

The amount on my ATM slip differs from the amount billed in statement. Attached is my receipt showing the correct amount. The difference in amount is ______________ or I

did not receive cash from ATM.

ANY OTHER (Give full details)

Primary Cardholder Signature: _________________________________

Add-on cardholder Signature: ____________________________(mandatory if the

transactions disputed are done through the Add on Card)

IMPORTANT NOTE

•Cardholder is requested to submit card statement highlighting disputed transaction and required documents wherever it is requested

•After dispute charges are resolved, should such charges recur in the statement, you are requested to intimate the Bank for these disputed charges vide this form within 30 days of statement date to enable us to take up the dispute with the member banks. After the lapse of 30 days, it will be construed that all the charges are acceptable and in order.

•A retrieval fee as prescribed in schedule of charges will be levied on per transaction basis to your account

How to Edit Transaction Dispute Form Pnb Online for Free

The pnb charge dispute form completing procedure is effortless. Our software allows you to use any PDF document.

Step 1: Click on the button "Get Form Here".

Step 2: After you have accessed the pnb charge dispute form editing page you'll be able to discover every one of the actions you may undertake relating to your file in the upper menu.

These areas will constitute the PDF form that you'll be creating:

writing pnb chargeback form part 1

Note the requested data in the section Name of Merchant Country Acquirer, I am disputing the above listed, UNAUTHORIZED TRANSACTION, I neither made nor authorized, LOSTSUSPECTED FRAUD My card was, MULTIPLE PROCESSING, I have been charged times for the, DIFFERENCE IN AMOUNT, and The amount on my sales slip.

step 2 to filling out pnb chargeback form

You will be required specific vital particulars if you want to submit the CANCELLED TRANSACTION, I cancelled this transaction on, and Cont box.

Entering details in pnb chargeback form part 3

The DEFECTIVE MERCHANDISE I am, PAID BY OTHER MEANS I paid for the, MERCHANDISE RETURNED I have, and NOT AS DESCRIBED The goodsservices field is where each party can indicate their rights and obligations.

pnb chargeback form DEFECTIVE MERCHANDISE I am, PAID BY OTHER MEANS I paid for the, MERCHANDISE RETURNED I have, and NOT AS DESCRIBED The goodsservices blanks to fill

Look at the areas ATM DISCREPANCY The amount on my, ANY OTHER Give full details, Primary Cardholder Signature, Addon cardholder Signature, IMPORTANT NOTE, Cardholder is requested to submit, required documents wherever it is, After dispute charges are, requested to intimate the Bank for, and A retrieval fee as prescribed in and thereafter fill them out.

pnb chargeback form ATM DISCREPANCY The amount on my, ANY OTHER Give full details, Primary Cardholder Signature, Addon cardholder Signature, IMPORTANT NOTE, Cardholder is requested to submit, required documents wherever it is, After dispute charges are, requested to intimate the Bank for, and A retrieval fee as prescribed in fields to fill

Step 3: As soon as you are done, select the "Done" button to export the PDF form.

Step 4: To prevent yourself from potential forthcoming issues, it is important to have as much as several copies of every single form.

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