Type of Dispute *Select any one option.ATM/ POS/ Debit CardMobile BankingConnect - IPSQR PaymentSelect any one in case of Mobile Banking. *Select any one option.Fund TransferTop Up (NTC/ NCELL/ Dish Home)eSewa LoadKhalti LoadOtherMobile Number *Debit Card No. (In case of ATM/POS Dispute) *Account No. *Name of Account Holder *Transaction Date *Disputed Amount *Transaction Bank (In case of Fund Transfer) *Location of Transaction (In case of ATM/POS) *Email Address of the Customer (if available)Description of the Transaction *Other (Please specify) * Send Message
