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Home » Forms » Transaction Dispute Form IB
(For Mobile and Internet Banking)
Customer Name:
Sender Mobile Number:
Sender Account Number:
Email Address:
Date Dispute Received:
Channel used
Date of Transaction
Amount in Birr
Beneficiary Account number
Beneficiary bank
Channel used: MobileInternet
Date of Transaction:
Amount in Birr:
Beneficiary Account number:
Beneficiary bank:
Based on my examination of my account statement or inquiry with your customer service, I am disputing the transaction listed above based on the following:
Dispute Reason: Amount DeductedOther
Other reason:
I hereby declare that all information provided in this dispute form is true to the best of my knowledge and the attachments are genuine and valid.
Signature:
Date:
Feb 14, 2025
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