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Citi Bank for Pakistan General Services & Complaints Form

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Citi Bank for Pakistan General Services & Complaints Form 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

				
DOCUMENT INFO
Description: Citi Bank for Pakistan Same Base Account Opening Request Form Citi Bank for Pakistan Account Statement / Bank Certificate Request Form Citi Bank for Pakistan Account Closure Request Form Citi Bank for Pakistan Authority Letter Citi Bank for Pakistan Card Cancellation Request Form Citi Bank for Pakistan Captured Card Release Request Form Citi Bank for Pakistan Card Conversion / Upgradation / Clubbing Request Form Citi Bank for Pakistan Card Replacement / Renewal / Reinstatement Request Form Citi Bank for Pakistan Direct Debit Form Citi Bank for Pakistan General Services & Complaints Form Citi Bank for Pakistan Loan PayOff / Exit Request Form