Report Lost Card, Report Unauthorized Transactions or Cancel Card Service (applicable to credit and ATM cards)

Personal Information

English Name*:

Hong Kong ID or Passport Number*:

Date of Birth (DD/MM/YYYY)*:

E-mail Address:

Telephone Number*:

*Mandatory

Please select the following service:

Report Lost Card

1):

2):

3):

4):

5):

	Please report lost all credit card(s) under my name
	Please report lost all ATM card(s) under my name#

#If the ATM card belongs to a sole proprietorship company, please fill in the company name in the Remarks field below.

Reason for reporting lost:

Remarks:

Report Unauthorized Transactions

1) Card Number:

Merchant Name:

Transaction Date (DD/MM/YYYY):

Amount:

2) Card Number:

Merchant Name:

Transaction Date (DD/MM/YYYY):

Amount:

3) Card Number:

Merchant Name:

Transaction Date (DD/MM/YYYY):

Amount:

	Please block my credit card(s) mentioned above
	Please block my ATM card(s) mentioned above#

#If the ATM card belongs to a sole proprietorship company, please fill in the company name in the Remarks field below.

Remarks:

Cancel Card

1) Card Number:

2) Card Number:

3) Card Number:

4) Card Number:

5) Card Number:

	Please cancel all credit card(s) under my name
	Please cancel all ATM card(s) under my name#

#If the ATM card belongs to a sole proprietorship company, please fill in the company name in the Remarks field below.

Reason for cancellation:

Remarks:

For enquiry, please call our Customer Service Representatives at (852) 2818 8236.

Please be informed that Shanghai Commercial Bank Ltd. is not responsible for the interception of any information supplied in this application form during data transmission.

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