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Dispute Transaction Form

This dispute transaction form allows a customer to dispute a transaction on their credit or debit card. The form collects details of the disputed transaction such as date, amount, and merchant name. It also asks the customer to select a reason for disputing the transaction from options like unauthorized transaction, cancelled transaction, goods/services not received, etc. and provide any supporting documentation. The form then collects contact and account details of the cardholder to identify them and their account. A note at the bottom informs customers that they can check the status of their dispute and that temporary credits may not be provided during an investigation.

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Ali Naeem Sheikh
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© © All Rights Reserved
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515 views1 page

Dispute Transaction Form

This dispute transaction form allows a customer to dispute a transaction on their credit or debit card. The form collects details of the disputed transaction such as date, amount, and merchant name. It also asks the customer to select a reason for disputing the transaction from options like unauthorized transaction, cancelled transaction, goods/services not received, etc. and provide any supporting documentation. The form then collects contact and account details of the cardholder to identify them and their account. A note at the bottom informs customers that they can check the status of their dispute and that temporary credits may not be provided during an investigation.

Uploaded by

Ali Naeem Sheikh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DISPUTE TRANSACTION FORM

Contact Center & Customer Care Fax#: 021-99217448


1st Floor, UBL Warehouse Building Email: customer.services@ubl.com.pk
Mai Kolachi Road, Karachi.

DISPUTED TRANSACTION DETAILS


Transaction Date Amount (Rs.) Amount ($) Merchant Name

REASONS FOR DISPUTE


Cardholder did not participate or authorize transaction
Unauthorized internet/mail/phone order transaction
Duplicate/multiple billing
Cancelled transaction/membership .................. need proof of cancellation communication with merchant
Amount altered .................................................. need evidence of actual transaction amount
Credit not received ............................................ need credit voucher
Cash not dispensed from ATM
Goods/Services not received ............................ need proof/details of communication with merchant
Goods/Services not as described ..................... need proof/details of communication with merchant
Returned the goods ........................................... need proof/details of communication with merchant
Paid by other means .......................................... need proof/details
Comments

CARDHOLDERS’ DETAILS

Basic Card No. Supplementary Card No.


Name Name
Signature Signature
Mobile No. Mobile No.
Landline No. Landline No.
Email Address Email Address
Date Date

Note: If you want to know the status of your disputed transaction at any stage you can contact our 24-hour UBL
Contact Center & Customer Care at 111-825-888. In case of billed transaction disputed by credit card holder,
temporary credit cannot be provided to the customers during the investigation period. Therefore, it is kindly advised
to deposit ‘the full’ amount against the billed transactions since non-payment/partial payment will result into
default, interest penalty and subsequent reporting into eCIB. However, based on the Bank’s discretion financial
credit may be extended on a case-to-case basis.
Disclaimer: All United Bank Limited Terms and Conditions are applicable.

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