CUSTOMER NAME * :
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CARD NO * :
A/C NO * :
IFSC CODE:
BRANCH NAME:
TYPE OF TRANSACTION:
HOW AND WHEN THE CUSTOMER CAME TO KNOW ABOUT THE FRADULENT TRANSACTION:
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REGISTERED MOBILE NO * :
Other Contact number :
REGISTERED E-MAIL ADDRESS:
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Date Received :
FIR/Police Complaint Lodged:
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PLEASE NOTE TO HOTLIST THE CARD BY CALLING 1800221911 TO AVOID FURTHER TRANSACTION