Complaint Request Form
Primary Customer’s Name:
Visa Card X X X X X X
Mastercard X X X X X X
Supplementary (1) X X X X X X
Supplementary (2) X X X X X X
Quick Cash X X X X X X
Mobile: ( ) Tel. (Off): Tel. (Res.):
Complaint about
Services Misbehaviour Disputes Statement
Cards Misselling SMS
Loans Delay Services/Poor Customer Services Manager service
Charges Charges (AMF, OLF, LPF) Breach of Customer Services Manager agreement/contract
a. Annual Fee Interest Misleading advertising product information
b. Late Payment Fee Card limt Failure to carry out instruction
c. Card Limit Personal Loan Others
Please explain the nature of your complaint in your preferred language and we willcall you within 3 working days.
Customer’s Signature: Date:
DD MM YY
Email this form to contactus@[Link] Terms and conditions apply
For official use only
Date:
FORM/COMPREQ/E/28062020
DD MM YY
Office Location:
Name & Signature of Customer Services Officer:
Reference no.: SQ/01/08
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