Customer Complaint Registration Form

Customer Complaint Registration Form

Fields with (*) symbols are mandatory

Account Details *

Account Number *

Mobile Number *

OTP

Full Name *

Email Address *

State

Branch

Dispute Category *

Product *

Nature of Issue *

Severity *

Complaint lodged with Branch

From Date

To Date

Amount Involved *

Transactions Details

Transaction Date *

Transaction Time *

Transaction Amount *

Transaction Number

Received Amount *

Dispute Amount

RRN Number

Was It a Fraud

Complaint Details (max 500 characters only) *

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