Mahalaxmi Bikas Bank

Dispute Type *

Card Number *

Registered Mobile Number *

iTouch Username *

Card Type *

Account Holder's Number *

OTP Number *

An OTP verification code will be sent to your phone via SMS. Copy the OTP code from the SMS into the OTP box.

Account Holder's Name *

Contact *

Email ID *

Transaction Date *

Claim/Dispute Amount *

Transaction Bank/ Merchant *

Transaction Location *

Please tick on below dispute options as appropriate:

I used my Debit/Credit/OD card to perform transaction. However, the transaction was unsuccessful/declined & my account was debited

Mentioned transaction was charged to my account more than once

I had paid by other means or purchase was cancelled

The amount billed by Merchant was different from Sales draft or documents that I have authorized

Unauthorized transaction - I did not authorize or participate in the transaction(s) mentioned above or authorized anyone to engage in the transaction(s). At the time of this transaction the card was in my possession

Any other information (please specify)

I have read, understood and agree to the (Terms And Conditions).

Dispute Claim