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general service complaint form CITI BANK PAKISTAN

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general service complaint form CITI BANK PAKISTAN Powered By Docstoc
					                                                       Branch:
                                                       CRO:
                      GENERAL SERVICES & COMPLAINTS FORM
Customer Name: _____________________________________________________________
Card/R-Ship Number:

CNIC Number (Current):

NIC Number (Old):

  Credit Card, Basic ___________                     PIL              Autos                 Mortgage
                         Card Type

  Request for E-Card with Desired Credit Limit _______________________________________

  Reversal of Charges Request:-           Late Fee     AMF       Service Fee    OverLmt Fee   Chk Retn Fee
  Reason: ________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________

  Card Block / Un-Block Request; Details:____________________________________________
  _______________________________________________________________________________

  Cancellation of Services:-         CA       DD           CS+    FPP      HFE        COC     SIP      ALOP
  Reason: _________________________________________________________________________
 _________________________________________________________________________________
  Reward Points Redemption; Points:____________ Item#: _______________________________
  Rewards Voucher /Gifts Return, Details: ______________________________________________
  _________________________________________________________________________________
  Refund of Excess Paid Amount (for Closed Acc), Details: ________________________________
  __________________________________________________________________________________
  PIL/Auto:       Balance Certificate      Duplicate Schedule       Tax Certificate   Inst. Waiver     Others
  Details:_________________________________________________________________________
  Request for Bureau Clearance Letter/Removal of Name from ECIB/Data Check: __________
   ________________________________________________________________________________



_____________________________                ________________                  _________________________
Card Member’s Signature                      Date                              Contact Number/s
Front Desk --- GIME Updated ---- IMPR --- GIME Updated & ECCMS Logged ---- ECCMS Routed to Concerned Dept
--- Action Taken ---- ECCMS Routed Back to IMPR --- Info to Cm by IMPR

FD-GEN-V1-08-08

				
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