DISPUTE FORM

Merchant Name: VILLMAN MEGAMALL Date: JAN 16, 2023

Brand Name: ASUS Mall Name: MEGAMALL
Order ID: 5UK7DYITLC-01 Order Creation Date:
JANUARY 6, 2023
Delivery Type: Payment Method:
Cash Card
Next Day Delivery Express Delivery In-Store Pick-up
Wallet Others:
Attachments: Remarks:

POS Receipt Delivery Receipt Proof of Customer Purchase Others:___________

_

TERMS AND CONDITIONS

1. All disputed transactions should be disputed within 3 days from auto-cancellation date.
2. All transaction reported beyond 3 days from the auto-cancellation date will no longer be accommodated and will be considered true,
accurate and binding upon you.
3. You will be advised of the final disposition via letter or email within 3 calendar days from receipt of the dispute form.
4. If the dispute was proven to be valid, the transaction will be included in the nearest payout.
5. Penalties will be imposed on orders that were auto-cancelled but was actually completed.

I hereby affirm that the information furnished above is true to the best of my knowledge.

NOEL DE GUZMAN JANUARY 16, 2022

Signature over Printed Name Date
(Authorized Representative of the Merchant)

SMO ACCOUNTING DEPARTMENT

Received by: Evaluated by: Decision:

Valid Invalid
Signature over Printed Name Date Signature over Printed Name Date
Remarks:_______________
DF_2021_v1