Declaration

• I hereby declare that neither me nor my family member / representative performed / authorized the above transaction(s).
• I declare that above given information is true and correct to the best of my knowledge.
• I understand that I can be held liable for all charges incurred if dispute raised by me is found invalid.
• I agree to pay the charges levied by the bank for the same including the cost incurred for investigation of my claim.
• I hereby authorize the Bank to deactivate the card on which the unauthorized transaction took place.
• I authorize Patsanstha and representatives to call me with reference to my query or request, wherever applicable.