Important Instructions For Customers

Digital Banking Dispute Form
Important Instructions for Customers:

 Call phone banking on 18002586161 to block UPI/ Net Banking / Credit Card /Aadhaar Enabled transactions
 Inform branch staff to mark a no-debit in your account to prevent any further transactions.
 For Payzapp related disputes call on 1800 102 9426 or email at cybercell@payzapp.in
 Call National Cyber Crime Helpline number on 1930 or Online reporting portal by logging to “https://www.cybercrime.gov.in
to report the incident. Mention the complaint / reference number on the form.
Customer’s Name KATTIKOLA BHARGAVI

Customer ID
Credit/Debit/Prepaid Card Number: X X X X X X
Account Number:
UPI ID:
Aadhaar Number (only last 4 digits) X X X X X X X X
Dispute pertaining to: UPI Credit Card Debit Card Prepaid Card Aadhaar Enabled Transactions
Net Banking/Mobile Banking
DETAILS OF DISPUTED ITEM(S):
TRANSACTION DATE TRANSACTION DESCRIPTION MERCHANT DETAILS TRANSACTION AMOUNT
27-02-2024 Groceries Narayana Rao 2000
Mandatory Section
 I authorise the Bank to mark a no debit in the above-mentioned account.

 I do not authorise the Bank to mark a no debit in the above-mentioned account for the below reasons
(Kindly note that in case card/account is not blocked, the liability for current and future transactions remains with the customer and not
with the Bank)
 I have called National Cyber Crime Helpline number on 1930/ logged on to https://www.cybercrime.gov.in to report the incident.
Please find the complaint/reference No
Brief description of how the transaction has taken place:

* Mandatory Fields Classification - Internal
To be filled in case of Debit/Credit/Prepaid Card related Disputes
 I have neither authorized nor participated in the above transaction(s). I confirm that the card is still in my possession.
 My card was lost/stolen on and the same was reported to you on . (Attach copy of Police
complaint, mandatory for disputes)
 Duplicate/Multiple billing. I have done only transaction(s) at the Merchant Establishment but I was billed times. (Attach
copy of authorized charge slip)
 I have cancelled the transaction(s)/returned the goods, but have not received credit/refund for the same (Attach Credit
Voucher/Refund note/Merchant’s letter or any form of merchant’s confirmation that the credit is due to the card account)
 The service / merchandise that I have received are not as described or found defective (Attach copy of all correspondence had
with the merchant, proof that goods were returned to the merchant OR proof of merchant acknowledging the cancellation
intimation)
 The transaction was Unsuccessful OR the Merchant confirms non-receipt of payment (Provide clear description of the goods or
services ordered / copy of all correspondence with the merchant)
 I ordered goods/services and the same were expected to be delivered by date (dd/mm/yy) , but I never received the
same. (Attach order confirmation / Provide clear description of the goods or services ordered / copy of all correspondence had
with the merchant)
 Paid by alternate means. I gave my card for payment, but later on paid by other means for the same transaction. I Paid by Cash
(attach cash receipt/bill)/ Cheque (attach Cheque /Bank statement)/ Other card (attach chargeslip/other card statement)
 Cancelled Membership/Subscription/Booking. (Attach proof of cancellation)
 The transaction amount incurred/authorized by me is for Rs. but I was billed for Rs. . (Attach copy of
authorized charge slip / Invoice copy)
 Cash was not dispensed at the ATM but I was billed for the entire amount of Rs. .
 Cash was dispensed partially in the ATM for Rs. but I was billed for the entire amount of Rs. .
 Others (Please explain in detail. Please attach a separate letter if necessary)

To be filled in case of Aadhaar Enabled Transaction dispute:(All questions mandatory)
 I have neither authorised nor participated in the above transaction(s). I authorise bank to delink Aadhaar number and disable
Aadhaar based payment transactions. Yes No
 Aadhaar Number updated for Direct Benefit Transfer (DBT): Yes No
 Is there any Joint holder in customer’s account: Yes No
 If yes, then is Joint holder aware of this fraudulent transaction reported by other account holder: - Yes No
 Has customer shared his/ her biometric with other entity/person for any purpose since the last 6 months? Yes No
If yes, provide details.
 Does customer regularly carry out AePS transactions at same Business Correspondent locations? Yes No
 How did the customer come to know about the fraudulent transaction in his/her
account?
 Customer’s Location at the time of Transaction?
 Is customer’s Mobile Number/Email Id updated in Aadhaar card? Yes No

 Is customer’s currently used Aadhaar Number updated in Bank’s system for SMS alerts? Yes No
Also was the same number user by the customer at the time of disputed transaction? Yes No
 Reason for late reporting of Fraudulent transactions by customer (applicable for fraudulent transactions reporting done after
3 months from the date of transaction)
I declare that above given information is true and correct to my knowledge. I understand that I can be held liable for all charges
incurred if dispute raised by me is found invalid. The Bank may contact me whenever it requires any further information.
Email ID* :Kattikola.bhargavi@gmail.com Mobile No* : 9515909631
Signature*:bhargavi Date & Time (AM/PM):
Important Note:
 For authorized transactions, an attempt to resolve the dispute with the merchant must be made first before we can take action
on your claim.
 Please ensure to provide appropriate documentation as indicated against the dispute reason which would enable us to make
every possible effort to assist in resolving your dispute.
 Customer can file a police complaint by following below mentioned options: -
 Report the incident to National Cyber Crime Helpline Number at 1930 or 155260
 Report through online portal at https://cybercrime.gov.in/Webform/Crime_AuthoLogin.aspx /
http://www.cybercrime.gov.in/"www.cybercrime.gov.in )
 Online complaint is followed by serial number, hence same is accepted. Physical copy needs to have seal and signature
of police official.
 CDF is a mandatory document to be submitted for all transaction disputes.
 Copy of Police complaint is mandatory to be submitted for all disputes where the transaction amount is greater than Rs. 50000/-
and in case of Aadhaar + Biometric fraud FIR is mandatory for amount greater than or equal to 10,000.
 Please send the duly filled CDF from your registered email ID to
 For all Card disputes  cc.disputes@hdfcbank.com
 For Net Banking / Mobile Banking unauthorised transactions  support@hdfcbank.com

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Digital Banking Dispute Form

Important Instructions for Customers:

Customer’s Name KATTIKOLA BHARGAVI

Credit/Debit/Prepaid Card Number: X X X X X X

Aadhaar Number (only last 4 digits) X X X X X X X X

DETAILS OF DISPUTED ITEM(S):

TRANSACTION DATE TRANSACTION DESCRIPTION MERCHANT DETAILS TRANSACTION AMOUNT

27-02-2024 Groceries Narayana Rao 2000

 I authorise the Bank to mark a no debit in the above-mentioned account.

Brief description of how the transaction has taken place:

* Mandatory Fields Classification - Internal

 Customer’s Location at the time of Transaction?

 Is customer’s Mobile Number/Email Id updated in Aadhaar card? Yes No

Email ID* :Kattikola.bhargavi@gmail.com Mobile No* : 9515909631

Signature*:bhargavi Date & Time (AM/PM):

* Mandatory Fields Classification - Internal

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