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OBC Charge Back Form

This document is a chargeback form from Oriental Bank of Commerce for unsuccessful ATM, POS, or e-commerce transactions performed using a debit card. The form collects details of the customer, card, account, disputed transaction including transaction type, date, amount, and additional information depending on the transaction type. The customer agrees to indemnify the bank if the chargeback is rejected or represented by the acquiring bank. Resolution of ATM chargebacks takes 7 days while POS and e-commerce chargebacks take 45-30 days. The receiving branch confirms the transaction details in their system and provides remarks before entering it into the IDEAS dispute management system.

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Tarun Kumar
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3K views1 page

OBC Charge Back Form

This document is a chargeback form from Oriental Bank of Commerce for unsuccessful ATM, POS, or e-commerce transactions performed using a debit card. The form collects details of the customer, card, account, disputed transaction including transaction type, date, amount, and additional information depending on the transaction type. The customer agrees to indemnify the bank if the chargeback is rejected or represented by the acquiring bank. Resolution of ATM chargebacks takes 7 days while POS and e-commerce chargebacks take 45-30 days. The receiving branch confirms the transaction details in their system and provides remarks before entering it into the IDEAS dispute management system.

Uploaded by

Tarun Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ORIENTAL BANK OF COMMERCE

(A Government of India Undertaking)


H.O.: Plot No:5, Institutional Area, Sector-32, Gurgaon

CHARGEBACK FORM
The Branch Incumbent
Oriental Bank of Commerce,

Date:______________

Dear Sir,
Re: Chargeback for ATM TXN / POS TXN / E-COMMERCE TXN (Online purchase using ATM debit card)**
I am submitting herewith the claim for unsuccessful transaction performed as per the details below.
1. CUSTOMER's NAME:

______________________________________________________________

2. CARD No:
3. ACCOUNT No:
4. Debit Card transaction details:
S.No
Card Transaction
ATMID/ POS
(TXN) Type
ID/Web Site
1

ATM/POS/E-Com

ATM/POS/E-Com

TXN / Ref
No

TXN
Date

TXN
Amount

Dispute
Amount

Resp.
Code

IDEAS Complaint
No (For Bank use)

Additional Information for POS (Point of Sale) TXNs.


5. POS Owner Bank:______________________ Merchant details/Location: _____________________________
Paid for goods by other means (Cash/Swiped again/ used alternate card for payment card, Cheque/DD/ etc if any)
Additional information for E-Commerce TXNs.**
6. I ordered goods/services and the same are expected by Date ________. But I never received the same.
I contacted the merchant on Date __________. Correspondence and response received from them is enclosed.
I/We hereby agree to indemnify the Bank in case, if the subject Chargeback is REPRESENTED/REJECTED by the
acquiring Bank. I/We understand that resolution of this chargeback shall take 7 working days for ATM TXN and
maximum 45/30 working days for VISA-POS & E-commerce / Rupay POS.
Signature of Cardholder___________________________ Address:__________ ___________________________
Email id: _______________________________________Tel.No/ Mobile No______________________________
** E-Commerce transactions like verified by VISA(VBV), RUPAY E-Commerce etc. , the customer invariably needs to first
contact the merchant and attempt to resolve the dispute.
Office Use for CHARGE BACK receiving Branch, B/O:____________________Sol Id:______
We have verified the above mentioned particulars in Finacle and hereby confirm that the card holder's A/c has been
debited on account of the subject transaction as per TRAN ID appended below and System/Branch has not reversed the
entry so far. The details as per Finacle are given below:
S.No

Tran Id

Tran Dt

Value Dt

Finacle Remarks

Finacle Ref No

1
2
** In case of POS/E-commerce TXN,Correspondence made by the customer with the merchant is to be sent to Email id:
[email protected] & for ATM txn Email id: [email protected] / [email protected] or Fax No 040-66318561
Signature & Name__________________P.A. No. _____________ Date of Entry in IDEAS_________________
of Authorized official
Note for POS TXN Paid for goods by other means is to
be entered in IDEAS remarks field invariably

For any help with respect to ATM TXN/ATM card /POS TXN/E-Commerce TXN you may contact on unified
Toll Free No: 1800-180-1235 or 0124-2340940 of our 24 hrs Banks call centre.

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