Invalid Case withdrawals application Form

Invalid Case withdrawals from bank application Form format for refund

 

 

From:                                                                                                       Place:

                                                                                                                                                                                                                                                                Dated:

Name ……………………………………………

Address ………………………………………..

…………………………………………………….

………………………………………………….. …

Contact Mobile No:

To:

The Branch Manager,

……………..Bank

Address……………………………………………….

Sir,

Sub: My savings bank account Number:……………………………………. with you

———

With reference to my savings bank account number with your branch as mentioned above,  I regret to inform you that I had received SMS alerts informing me of cash withdrawals as per details as mentioned below even though I had not attempted to withdraw cash from any automated teller machines using my debit card and I furnish here below the details for your information so as to enable you to recredit the amount to my account:

Name of the account holder
Account Number
Debit/credit card number
Name of the bank and branch where the  account is maintained
Date of transaction
Transaction time
Transaction amount	Rs.
Location of automated teller machine
ATM machine pertains to which (Bank/service provider)
Details of complaint	I had not at all used my debit card for withdrawing cash from the automated teller machines. The card is with my possession

In view of the circumstances as mentioned above, I request you to kindly arrange to re credit the amount to my account at the earliest.

Yours faithfully

Signature