Axis Bank — Cardholder Dispute Form

Address:

Kolkata, West Bengal, 700070

Solaris, C-Wing, 4th Floor, Opp. L&T Gate No.6 Saki-Vihar Road, Powai, Mumbai 400 072
Fax[protected].

Debit / Credit Card Number **:


5267 ... 4709

Details of Disputed Transaction/s **:
Sr. No.

Transaction Date

Merchant Name/ ATM Location

Transaction Amount INR

Disputed Amount, INR

1.
14.03.2017
AIR INDIA
RS.67, 790/-
RS.67, 790/-

I am disputing transaction/s listed above due to the following reasons. Request you to resolve the dispute.

q Duplicate/ multiple billing. I have done only one transaction but I was billed (Twice/ Thrice etc).

✔ I had tried transaction online, the same was not successful but the amount was debited from my account. ✔
The payment had been made to Air India and they have sent email with regard to the reversal of the amount within 5 to 6 days

Their email is as follows:
quote
Dear Customer,

Greetings from AIR INDIA,
Thanks for writing us!

Passenger Name Mr SUBRAMANIAM KUTHRALANATHAN

FAILED PNR:YPD9G//AIBE30169336
RRN NO.[protected]
====================

Card No:MasterCard credit card ************4709

Kindly touch with your bank with this RRN no. for regarding your transaction.
This transaction was not successful as the payment did not get credited to the Air India account.
Any amount debited from your account, against this failed transaction, will be automatically reversed
by the bank in 5 to 6 working days as per standard Banking Process time requirements.

You may like to check with your bank regarding the same.

Please get in touch with us should you require further assistance.

Assuring you of our best services at all times.

Thanks and Regards,
AI/Ecommerce Helpdesk
Unquote

When I had contact Axis Bank they the time for reversal is 120 days. The amount is not small and I need the money for my US Trip. Kindly look into the matter and see that the amount is credited to my account immediately.

Declaration: I hereby confirm that the averments made by me within this form are bona-fide and the information provided is true and accurate to the best of my knowledge and belief. In case this claim is determined by the Bank to be false or maliciously made, I shall be fully responsible for the consequences which may include civil/criminal lawsuit being initiated by the Bank.

Cardholder’s Name: SUBRAMANIAM KUTHRALANATHAN

Place: KOLKATA

Signature: X Sd/-

Date: 31.03.2017

Email [protected]@gmail.com
Phone: [protected]