中国建设银行龙卡信用卡疑义交易声明1

龙卡信用卡疑义交易声明（Declaration）

卡号CARD NO: 姓名 ACC NAME：

本人对上述交易做出以下投诉 I dispute the above transaction(s) for the following reason(s)。Please investigate the matter: 1、本人并无授权过上述交易。

I have neither authorized nor participated in these transactions.

2、重复收款。

I was charged twice.

3、交易金额不符，正确应为 。

Amount should be

4、本人曾于上述商户签购 笔交易金额 ，但并未签购过上述交易，且本人的信用卡从未遗失。 I signed in transactions for at the named merchant，but I didn’t sign in the above transaction(s) and my card was in my possession.

5、本人确曾向上述酒店定房，但本人已于 (日期，时间)向酒店取消定房并取得一取消号码 。 I made a room reservation with hotel and canceled it at (AM/PM) on (date) 。I was given the cancellation No .

6、本人收到商户签发的退款单，但该款至今仍未记入本人账户。

I received a credit slip from the merchant but the credit doesn’t appear in my statement.

7、本人已用其他方式付款（ ）现金、（ ）支票、（ ）其他信用卡。（请附收据副本）。

I paid the transaction by ( ) cash、( ) check、( ) other credit card.(Please enclose the payment

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