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    ATM Complaint Form

    Uploaded by

    Palacio Jerome
    This document contains an ATM complaint form with fields for the cardholder's name, contact number, date and time reported, nature of the complaint from a list of options, transaction type, amount, date, and time. It also includes fields for the ATM card number, account number, location of the transaction, and signature of the cardholder and person receiving the complaint.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ATM Complaint Form

    Uploaded by

    Palacio Jerome
    85 views1 page
    This document contains an ATM complaint form with fields for the cardholder's name, contact number, date and time reported, nature of the complaint from a list of options, transaction type, amount, date, and time. It also includes fields for the ATM card number, account number, location of the transaction, and signature of the cardholder and person receiving the complaint.

    Original Description:

    ATM-Complaint-Form

    Original Title

    ATM-Complaint-Form

    Copyright

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    PDF, TXT or read online from Scribd

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    This document contains an ATM complaint form with fields for the cardholder's name, contact number, date and time reported, nature of the complaint from a list of options, transaction type, amount, date, and time. It also includes fields for the ATM card number, account number, location of the transaction, and signature of the cardholder and person receiving the complaint.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    85 views1 page

    ATM Complaint Form

    Uploaded by

    Palacio Jerome
    This document contains an ATM complaint form with fields for the cardholder's name, contact number, date and time reported, nature of the complaint from a list of options, transaction type, amount, date, and time. It also includes fields for the ATM card number, account number, location of the transaction, and signature of the cardholder and person receiving the complaint.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    TMP-DA-40-11

    ATM COMPLAINT FORM


    CARDHOLDER'S NAME CONTACT NO/S DATE REPORTED

    TIME REPORTED
    NATURE OF COMPLAINT TRANSACTION TYPE (ie withdrawal, inquiry)
    No Cash Dispensed Card cannot be read

    Short Cash Dispensed Other ATM-Related Complaints (please specify)


    TRANSACTION AMOUNT
    Retracted Cash

    Card Captured TRANSACTION DATE

    Invalid PIN
    TRANSACTION TIME
    Incorrect Balance

    ATM CARD NUMBER ACCOUNT NUMBER WHERE DID YOU TRANSACT? MAINTAINING BRANCH AND BANK

    CARDHOLDER'S SIGNATURE RECEIVED BY

    TMP-DA-40-11

    ATM COMPLAINT FORM


    CARDHOLDER'S NAME CONTACT NO/S DATE REPORTED

    TIME REPORTED
    NATURE OF COMPLAINT TRANSACTION TYPE (ie withdrawal, inquiry)
    No Cash Dispensed Card cannot be read

    Short Cash Dispensed Other ATM-Related Complaints (please specify)


    TRANSACTION AMOUNT
    Retracted Cash

    Card Captured TRANSACTION DATE

    Invalid PIN
    TRANSACTION TIME
    Incorrect Balance

    ATM CARD NUMBER ACCOUNT NUMBER WHERE DID YOU TRANSACT? MAINTAINING BRANCH AND BANK

    CARDHOLDER'S SIGNATURE RECEIVED BY

    TMP-DA-40-11

    ATM COMPLAINT FORM


    CARDHOLDER'S NAME CONTACT NO/S DATE REPORTED

    TIME REPORTED
    NATURE OF COMPLAINT TRANSACTION TYPE (ie withdrawal, inquiry)
    No Cash Dispensed Card cannot be read

    Short Cash Dispensed Other ATM-Related Complaints (please specify)


    TRANSACTION AMOUNT
    Retracted Cash

    Card Captured TRANSACTION DATE

    Invalid PIN
    TRANSACTION TIME
    Incorrect Balance

    ATM CARD NUMBER ACCOUNT NUMBER WHERE DID YOU TRANSACT? MAINTAINING BRANCH AND BANK

    CARDHOLDER'S SIGNATURE RECEIVED BY

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