Customer FeedBack Form
Existing Customer :
Non Customer
1. Account Number:
2. Mobile Number:
How Satisfied you are with overall experience
Ease of finding the offers/features/Services offered by Bank
Ease of features/Services/infrastructure in Website
Mobile Banking Experience
E-Banking Experience
Customer Service Support
How easy was it for the customer to resolve a problem
How likely it is that the customer would recommend the Bank
Suggestion/FeedBack:
(400 Characters):
Dear Customer, the above field is only for suggestions/feedback purpose. If you have any grivances, kindly
click here
or call on our Toll Free No. 1800 103 0123
1. Name of Customer:
2. Address:
3. Email Id:
4. Mobile Number:
5. Customer Age group:
<30
30-60
60
6. Gender:
Male
Female
Other
7. Area:
Metro
Urban
Semi-urban
Rural
8. State:
---Select---
ANDAMAN NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATISGARH
DADRA - NAGAR HAVELI
DAMAN - DIU
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU - KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NEW DELHI
ODISHA
OVERSEAS
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
9. Suggestion/FeedBack:
(400 Characters):
Dear Customer, the above field is only for suggestions/feedback purpose. If you have any grivances, kindly
click here
or call on our Toll Free No. 1800 103 0123
Validation And Submit
OTP Details
OTP has been sent to your mobile number having reffernce number below mentioned
Reference No:
OTP No:
