Surat Permohonan Merchant - Update
Surat Permohonan Merchant - Update
Surat Permohonan Merchant - Update
Kepada
PT Mitra Transaksi Indonesia
Bagian Clearing & Settlement
Saya yang bertanda tangan di bawah ini :
Nama Lengkap Pemilik : ..............................................................................................
Nama Penanggung Jawab : ..............................................................................................
(jika yang bertanda tangan bukan pemilik)
No.KTP (yang bertanda tangan) : ..............................................................................................
Jabatan (yang bertanda tangan) : ..............................................................................................
Tlp/HP (yang bisa dihubungi) : ..............................................................................................
Nama Merchant : ..............................................................................................
Merchant ID (MID 11 digit) : ..............................................................................................
Terminal ID (TID 8 digit) : ..............................................................................................
Alamat Merchant : ..............................................................................................
Mengajukan permohonan atas transaksi sebagai berikut :
Tanggal Transaksi : ..............................................................................................
Nominal Transaksi : ..............................................................................................
(sesuai sales draft)
Nominal Refund/Posting : ..............................................................................................
Nomor Kartu (16 digit) : ..............................................................................................
Approve Code (6 digit) : ..............................................................................................
Jenis Transaksi : Transaksi Reguler Transaksi Installment/Cicilan
(*Isi dengan tanda X)
Jenis Klaim : Refund Posting Manual
(*Isi dengan tanda X)
Keterangan/Alasan :
..............................................................................................................................................................................
..............................................................................................................................................................................
*Bila terjadi sanggahan transaksi (charge back) Merchant bersedia didebit kembali.
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Pemohon,
(.....................................................)
NB:
Setelah ditandatangani dan distempel toko, kirimkan surat ini melalui
email: hiyokke@yokke.co.id