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Transaction Dispute and Claim Request

I/We hereby confirm that all information provided in this form is correct to the best of my/our knowledge and the provided documentation (if any) is not altered and/or tampered. I/We fully understand that in case of a Card Purchase / Withdrawal, HBL will only reverse the entry for the claimed amount after verifying such claims with respective banks / Visa / Third-Party Transaction Network(s). I/We fully understand that in case of Other Bank(s) / Visa / Third-Party Transaction Network(s), HBL can only reverse the transaction or refund the claimed amount upon receipt of funds from the respective party. I/We fully understand that HBL reserves the right to accept and action this request.