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ANDHRA BANK - CUSTOMER COMPLAINT FORM
Existing Customer ?
Yes
No
Account Number
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Home Branch
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Name of customer
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Address of Complainant
*
Complaint againt Branch
(If other than Home Branch)
Type of interaction
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---Select the type of this interaction---
Complaint
Suggestion
Enquiry
Mobile Number
*
Telephone No.(with STD code)
E-mail id
Category Of Complaint
----SELECT----
Advances
Atm related
Credit card
Customer Service
DMAT
Deposits
General banking
Government Schemes
Marketing
NRI Services
Remittances
Technology
Products & Services
*
----SELECT----
Nature Of complaint
*
----SELECT----
Debit Card No.
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POS Txn Amount
*
ATM Txn Amount
*
Txn Id/UTR No./RR No.
*
Transaction Date
*
Dispensed Amount
*
ATM Id/ POS ID/ Reference No.
*
Please Give brief details of
your complaint(Max 1000 Chars)
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