Complaint Submission Form

Please complete the form below to submit your complaint

Section A: Customer Information

Customer Full Name:

Identification No.

Contact Number:

Email Address: (if any)

Residential/Business Address:

Section B: Account / Relationship Information

Account No. (if applicable):

Branch Name:

Product or Service Related Complaint:

Please tick one or specify

Deposit Account Digital Banking / Mobile App Loan / Credit Facility Card (ATM) Remittance / Transfer Trade Finance (Bank Guarantee / Letter of Credit) Customer Service

Others

Section C: Complaint Detail

Type of Complaint:

Service Delay Transaction Error Staff Behavior System / Technical Issue Fee / Charge Dispute Account Issue

Others:

Date Issue Occurred:

Detail Description of Complaint:

Section D: Customer Expectation

What outcome are you expected from the Bank?

Explanation / Clarification Correction of Error Refund / Compensation Apology

Others

I hereby confirm that the information provided above is true, complete, and accurate to the best of my knowledge. I understand that the Bank will use this information solely for the purpose of handling my complaint.

By clicking "Submit Complaint", I acknowledge and consent to this submission to confirm my intent to file this complaint with MB Bank (Cambodia) Plc.