Type of Dispute *ATM / POS / Debit CardMobile BankingConnect-IPSQR PaymentPlease select any one in case of Mobile Banking Fund TransferTop Up (NTC/NCell/Dish Home)E-Sewa LoanKhalti LoadOtherMobile Number *Debit Card No. (In case of ATM/POS Dispute) Account No. *Name of Account Holder *Transaction Date *Disputed Amount *Transaction Bank (In case of Fund Transfer) Location of Transaction (In case of ATM/POS) Email Address of the Customer (if available) Description of the Transaction Other (Please specify) CommentSubmit