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Date & Time of Incident
Complainant Name:*    
Complainant CNIC:*    
Complainant Address:*    
Complainant Email:*    
Phone/ Cell #:*    
Type of Customer*
Account Number.
(if complainant is account holder)
Branch Name:*    
Nature of Complaint:
ATM Card No:
(if complainant is related to ATM Card)*
Complaint Detail:*    
Have you approached the Branch Manager /
Operation Manager for resolution
If yes then provide the detail:
If you have approached the NBP Call Center.
Please provide call center Ticket No.
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