Complaints Handling Form

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REQUEST TO REDIRECT A TRANSFER WHICH WAS SENT TO THE WRONG NUMBER I, undersigned, [LAST NAME, FIRST NAME], attest that I performed an erroneous money transfert on the [DATE] at [TIME] to the following number* (visible on the confirmation SMS) _____________________ instead of the intended number *_________________________. *international format, for ex. +263… I formally request that Orange intervene on my behalf so that the partner Operator reverses the amount to my account. I have full knowledge of the terms and conditions for the Orange Money International Money Transfer service and recognise that Orange cannot be held liable for any consequences arising from the error I made. Date ____________________ Signature Supporting document: Copy of customer’s official ID (passport, ID card)

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