Consumer Complaint Form
1. Customer Details
* Mandatory fields
Title
*
Mr
Mrs
Miss
Ms
Last Name
*
First Name
*
Email
*
Telephone
*
Address
*
Account Type
*
Retail
Corporate
Certificate of Deposit
Account Number
*
Currency
*
USD
EUR
GBP
CHF
2. Details of product or service offered to the customer
Date Product or Service Acquired:
Name of Relationship Manager:
Product or Service Type:
Demand Deposit Account
Margin Loan
Custody Account
Certificate of Deposit
3. Complaint in detail
Compliant Submission Date:
*
Nature of Complaint
*
4. List of Supporting Documents Attached
Allowed file formats: JPG, PNG and PDF. Max size 5mb.
Details of Any Steps Already taken to Resolve the Complaint:
Details of Conversation with Staff or Representative:
Copy of Any Other Document Which Supports the Complaint: