| Name of Accountholder/Complainant |
: |
_______________________________________________________ |
| Address |
: |
_______________________________________________________ |
| |
: |
_______________________________________________________ |
| |
: |
_______________________________________________________ |
Tel./Mobile/Fax Nos. |
: |
_______________________________________________________ |
| Name of Branch |
: |
_______________________________________________________ |
| Grievance/Complaint, in brief |
: |
_______________________________________________________ |
| Response of Branch Concerned |
: |
_______________________________________________________ |
| |
: |
_______________________________________________________ |
| |
: |
_______________________________________________________ |
| |
: |
_______________________________________________________ |
| Copies of Documents Attached |
: |
(1)
___________________________________________________ |
| |
: |
(2) ____________________________________________________ |
| |
: |
(3) ___________________________________________________ |
| |
: |
|
|
if, complaint solved, Suggestion : |
: |
_______________________________________________________ |
| |
: |
_______________________________________________________ |