| __. — ‘uerpyrauta no paGoTe enperensntn no kaprownsi onepauta # AO «Hlypoanio> Peaacunn aovywenra: | ava wavtana etler@s cp: 1 Haspaune zoxystenras 1 Huerpyxuitn no pabote ¢ npetewsiiaNat No Kaprosint omepaussst Kaprosiamsik onepaunamap Gofiunsa wapayeLTHKTapbt ‘Gap axyMBIC ontterd eyeKaymBAK MeL soca Tiperensma / Claim of dispute situation /Ne LG wopassramie Komy: Hasaapunny OOTIKO AO «HypOanm/To: ‘Head of Card Division JSC “Nurbank”/ Kise: “bfypGane» AK-nun KIKYREB Gacrosruam sty Mr. suuipsara OriFrom/Kiynten a (ono noanocrso/Cardholder Name/ Arbr-acoui ToBI) Tea No/Tel # Honep xaprowsn (Card #/Kaprouxa wonipi YYolt 2S 1120 2b os OF Java/ Date/200__ xbLaret «_» Tevep] Fara] Hanwenoumane [Anpee nyuira Koa tame) on | saproaxm | Tpansaxuyat | myaxra o6er-8 GCI AHBAHUA astopisaum | TpaHsaKiUi ‘TpaHpaKwt prowen | Tpavsaction | Merchant Name | Merchant Location | Auth Code Transaction | Transaction || Number | Date Raencr | Kgsueropeetetix | Asvopanre | _Curency | | Anat | | xayrowsa | tparpaaaue | ronereit nyt frpy xox: | Tpaaxumes | Tpavontute soon | Tos | cee | acme ome | “ean eile OO Medco Tal rpuee Wee 02e| ee ae Snoute onepauan (GamiosaT, HaanaNbte, Gesuaumsnas ontara) For any transactions (ATM, eash, retail) Kea Kearen onepaunisitap (Oaukonar, Koama-Ko7 ARIIANCH, osIMa-Koul axutaeb1 ToAeY)! ne COneparwia He cocToanacs, cys onepaia MHcaH, YMeHDUN IS ocrynuuti Ganane. Transaction was tinswecessful but this amount was charged and my balance was reduced Onepauix asyprisiamteat, hepa cowed! MFBIHFA XCA3BLIAM, ON KereTinai«Ganshic NEA STocrymiit Sanaac MexsUIe, eM xomrett GhiTs To NOVM PRCATT npn oto 31 obwapy«IBAIO ‘iravannoMMponabeisre onepanut no Kapr-cueTy. My balance was reduced as original balance should be higher and 1 realized unauthorized transactions with my ‘card Mein ecerreyepime Kaperanaa, Kon ih ie Ganae Kew, OYA PeTTe MEH Kapr-inoT Golan pce eTiNMErEH ntepamiuuTapaet TARTEIN Grangnira ake onepaluin oTpaanace a Kapr-cvere Gores O1NOTO Dasa = —— Fi ‘SH cornacen TOABKO oamoth, anyon, 7.2.) onepanuelt (onepaussn). TonenrTaTt (eneteHHs MpHBedeMBt jauxe One transaction was processed more than once = times. I confirm only (one, WU (S)ransaations. Please see also Additional Comments Bip onepaniintt Oo) xapr-uort GipreH apr - per Kopeetiaren. Meu ee (ip, exi xxene 7.6.) omepaunsen Conepausiapwent) Fata xeaicentst. Koctanue Mamiwerrep TomenAe Kopeetiaret 5 Omepausia rposonviasen Ha cyMMy ‘TeHre, BBIAREHO ‘eure. Transaction amount was altered from 10 Onepaws. “reure conara xcypriaizt, rrenre Gepina © Brumeyrasaniaa onepaniia npopoauacs 623 MoeTO YacTH™ Ges woero paspemenna, B emyyae peobkgumoctH # me T™pOTHB YHACTHX MPABOONPRIITEADAENS CPraHOs ‘pacenenopadit TaM, TAE TO wR mst Bor aan Redaction Domaine 40 «HV PBARNS vee unpopmayan,sornengroes roepeccot malo, Eso waemanoe xm Noes ‘pacrpocmpanewue si se ad wun Ronuposanue naGeoenoco6ou, na MOON KOCUMEISS yok Te AERO ipadonnuncovn Bana, ompazo sanpeweno unakaayeno ¢ cooneemcnaul¢ saxkonoDamerecmsan7 : ‘Mnerpysuns no paGore © npereuisuasa no kaprosbint onepauiaat 8 AO «dlypéainc» Peraxuns soxymenra: 1 Ara wasiana aetiersia: xp: 2 waive nOKYMeHTa: soamencto. I confirm my nor-perticipation and non-authorization on the above transactions. In case of wot T do not object to participation of the Lew-Enforcement Agencies in the investigation of these sections where itis possible Korapsun xepeerinreu onepausix wewint raTHICVEIMCEE 2aHe Newt pykcer Gepyicis acyprisinai. Keser Gonran xaraaliaa xyKK KOpFAY OpraHAADSIHSI ymin’ Gop ‘kepaepre Tepreyre KATLICYHINA Kapest eNECTTN, Banxomar, ATM: He pstaen naauuinse nensrn. ATM did not deliver requested cash Koawe-novt axa Bepmeni Buen acts sanpoweHHoli cymmal. Mol sanpammpanace cymma{0> DO fenre, Ho Cankomar payat_¢7 ‘eure, Moayyeunpie kymopit hum HoMmuarta: ‘ATM delivered only partial amount, Requested amount was received in following value Cyparrait comantin 6ip Oaairint Gepai. Men Teurere cypay cannbim, GipaK Ganxowat ‘renre Sepai, Ansinra kymopatapabin HoMABanbI MEHAWLAy: ‘Tass nasutmeas, For eash advance Koma oa axuia yusias Harrie neusret Ke onyseH, Ho cyNsa onepauun omGoNNO enueaHa ¢ KapT-ewera. Cash Was not recived but transaction amount was debited out of my card account by mistake Konma-xon axua ‘pibtnGaby, Gipax onepantin COMBS KapT-IIOTTAN KATE LIBIFSTHTA 2KESHIAB. Hoxymev/onaara yeayr. Retail Caron aay/xprsmerni rostey: Onepauin ie cocrosnney, Hex He pacnesatas, Transaction haven't occurred and bill wasn’t printed ‘Onepauua seyprisinmeai, Nek Gachuibin WBIKTA. Tonapiyenyra onaaien/oxaaaiia, Ho HE ToAyNeH MtHoll TO mpiruxte MoeTO OTKASA, ¥ CROeHPEMEHHS yenostut (a) npeanprmutarens 0 cecest orke2e. JIna rocrimuun/orenetl HoMeD OvKass : re nlrsetviges were paid but not received! rendered because of my discretion I informed POS timely. For hotels cancellation number is Tayap/xusner toneuni, Sipax Mew @siM 6ac TaprKenasicran aTMAZLIM, MeH GSiNHIN Gao Taprraun orowitiae woeiMKepre YEKSITSAM xaGapalasbis. Kowaxyfitep/etimauixanatapra Gac tapry sestiph Tosap'yciyra monysewoxasaus, HO Ne COOTBETETBYeT No | xapaxrepucTusey | snKsaa Ons, hotnccraemmett, nonpesieH, HeKOMMTeKTeH. Ordered goods/servives were received/rendered but not Treeeey as described, defective, damaged, incomplete Tayap/xsower ambunxopeetiaai, Gipax crererraNanapst Gofistiuia rancstpste Gepinrenre caixec eNec, caniacks, Gyminre, ToabinaaaNaass 4 npresnaio suuseykasaunute onepalin, Ho HAVIMeMOBBHNE MPeanpHHI@ETEAR wate He aHAEONO, HALAS conepaumo # copepusan B . Lconfirm the above transactions but don't recognize merchant's name. In this case merchant is known as Mest ceoraplasia aTanTaH onepaunaraprs Nofumalivaie, Gipak Kacinxepnin grays! ara Gearieis, Oya onepatunatis Met >eyprisaint Jonoamnressunait — KomMentapuii, Additional comments_—-Koctsnauia srycitixtene __ Tloaunce aepmarean kaprowsn, Carcholder Signature Kapromxa nevisin komt asntenwe 3asepeno. Certified by Orinimt paeraaze yanan AO «HypSanre> w Branch of Nurbank in K bt AL KOM PY _ nares ubtypbanm» AK- ‘ruin aaah Tanna Dorgan naznemicn Konrpudenapuaroniun dorynenmon AO «HYPBAHK u coDepocum 2 anpopingun, xemouyices xexouepueesci matinot. E20 wacmsce ru nosnoe paenpocn pavers wen vnapebaud whan xonupoeanue NDGEN cnDcoGan, na soGbxx wocumenss u.OBws mana, He REMADE “pabomuxasru Bava, cmpoco sanpeweno w naxcazyeNo 6 coOmBemICIEUl C 2aKDNGDAMENKCMEeMCota } Hypbanic AK Leinmwair x, Onna nt BCK/BY " O2) 19 cen 202 51 | f j : 10x42047637601665062980065) | g504290H3104 O7BKAZS< EEEEEEES. ‘ es0c2 00 cece |