Transaction Dispute Form

Instructions:

1. Please complete the details.

2. Please do not disclose passwords or full card number or CVV or ATM PINs in this form.

3. Please click SUBMIT button only once for raising a dispute. Bank will send you an acknowledgement and contact you for any details.

4. Please contact Call Centre +91 22 6153 2393 for immediate blocking of card or Online Banking user-id.

Transaction Dispute Form

Name

Mobile Number

Select Card or Account

Card Account

Select Branch

Please tick the applicable channels.

My Banknet ID (Internet Banking ID) is compromised. Please deactivate immediately and the suspicious transaction details are given below. I am disputing the below debit card transaction. Others

Disputed Transaction Details:

Transaction Date

Transaction Currency

Transaction Amount

Merchant name /ATM Location/ Beneficiary

Brief details of the Dispute

Transaction Dispute Form

Disputed Transaction Details:

Thank you.