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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:*  
Complaint Detail:*  
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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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