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    Screenshot 2023-04-07 at 3.00.14 PM

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    1996.mahiverma

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    Screenshot 2023-04-07 at 3.00.14 PM

    Uploaded by

    1996.mahiverma
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    Copyright:

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

    Screenshot 2023-04-07 at 3.00.14 PM

    Uploaded by

    1996.mahiverma

    Copyright:

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

    To,
    The Manager
    HDFC Bank Cards Division
    PO Box No. 8654

    Thiruvanmiyur P.O.

    Chennai – 600041.

    Please send the duly filled CDF from your registered email ID to [email protected]

    Imran
    NAME : ________________________________

    CREDIT CARD NUMBER :

    I am disputing the following transaction(s) for the reason given below and request you to settle the case(s) :

    DETAILS OF DISPUTED ITEM(S) :


    TRANSACTION DATE MERCHANT NAME TRANSACTION AMOUNT

    Please select the most appropriate one :

    ❑ 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 ______________.
    ❑ Duplicate/Multiple billing. I have done only one transaction at the Merchant Establishment but I was billed ____ times. (Attach copy
    of authorized chargeslip)
    ❑ 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)
    ❑ I had received defective merchandise/goods and had returned the goods to the merchant. (Attach Credit Voucher/Refund
    note/Merchant’s letter or any form of merchant’s confirmation that the credit is due to the card account)
    ❑ 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 the proof of merchant acknowledging the cancellation)
    ❑ I ordered goods/services and the same were expected to be delivered by date (dd/mm/yy)___________, but I never received the
    same. (Attach the proof of merchant acknowledging the cancellation)
    ❑ The transaction amount incurred/authorized by me is for Rs.___________ but I was billed for Rs.__________. (Attach copy of
    authorized chargeslip)
    ❑ 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)

    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. I agree to pay the charges levied by the bank for the same including the cost
    incurred for investigation of my claim. The Bank may contact me whenever it requires any further information.

    Email/Phone / Fax: ______________________ Date : _______________________________

    ______________________________________ ________________________________

    Cardholder's Signature Add-on Cardholder's Signature (If any)

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