jainbank - Grievance Feedback

Name of Customer*

Bank A/c no. against which the complaint is lodged*

Type of A/c*

Customer Address*

Customer contact number’s*

Date of lodging complaint*

Nature of complaint/grievance*

Date since facing the problem*

Have you faced such problem before (Y/N)*

Describe the problem currently being faced (in brief)*

Mention any other problems faced or inefficiencies that you think exists while dealing with functioning of the bank (in brief)*

Form reference no. (for future communication/reference)*