vate da Naw. Born
Dear UBA CFC
My name is \FOCS and | would like to make a
formal compl gt ut a/some debit card transaction|s) on my account
which was not successful.
My card details are:
Name on Card: Buc 4AaD Obarer
Last 4 digits of Card Number: CO
Description of
Transaction Amount Taken | Item(s) Purchased | Merchant
Date Terminal
Used/Transaction
sified a TX Fe ba
Hig Octonee 1S lb6-i0 OF ae
(On discovering this/these debit transaction(s), | hereby make my complaint to you.
Please tick appropriately
@. The transaction declined
bb. I ransfered through another means (...)
c. | paid cash to the merchant
d. Ihave not been refunded till date a7
Please investigate this incident as | require your assistance in recovering my funds.
Thank you.
ease send the declined receipt along with this letter