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Form analysis
1 forms found in the DOM

POST disputemail.php

<form id="loanform" action="disputemail.php" method="post" role="form" class="php-email-form">
  <div class="row">
    <div class="col-md-6">
      <label for="inputState">Customer Name (Please enter full name)</label>
      <input type="text" oncopy="if (!window.__cfRLUnblockHandlers) return false; return false" ondrag="if (!window.__cfRLUnblockHandlers) return false; return false" ondrop="if (!window.__cfRLUnblockHandlers) return false; return false"
        onpaste="if (!window.__cfRLUnblockHandlers) return false; return false" name="cname" class="form-control" placeholder="Customer Name" required="">
    </div>
    <div class="col-md-6">
      <label for="inputState">Account Number</label>
      <input type="text" name="accno" oncopy="if (!window.__cfRLUnblockHandlers) return false; return false" ondrag="if (!window.__cfRLUnblockHandlers) return false; return false" ondrop="if (!window.__cfRLUnblockHandlers) return false; return false"
        onpaste="if (!window.__cfRLUnblockHandlers) return false; return false" class="form-control" placeholder="Account Number" required="" pattern="^\d{13}$" title="Please enter your valid bank account number!">
    </div>
  </div><br>
  <div class="row">
    <div class="col-md-6">
      <label for="inputState">Mobile Number</label>
      <input type="text" oncopy="if (!window.__cfRLUnblockHandlers) return false; return false" ondrag="if (!window.__cfRLUnblockHandlers) return false; return false" ondrop="if (!window.__cfRLUnblockHandlers) return false; return false"
        onpaste="if (!window.__cfRLUnblockHandlers) return false; return false" name="phone" class="form-control" placeholder="Mobile Number" required="" pattern="^(?:(?:\+|0{0,2})91(\s*[\-]\s*)?|[0]?)?[789]\d{9}$"
        title="Please enter valid mobile number!">
    </div>
    <div class="col-md-6">
      <label for="inputState">Email</label>
      <input type="text" name="email" oncopy="if (!window.__cfRLUnblockHandlers) return false; return false" ondrag="if (!window.__cfRLUnblockHandlers) return false; return false" ondrop="if (!window.__cfRLUnblockHandlers) return false; return false"
        onpaste="if (!window.__cfRLUnblockHandlers) return false; return false" class="form-control" placeholder="Email" required="" pattern="^[a-zA-Z0-9+_.-]+@[a-zA-Z0-9.-]+$" title="Please enter valid email address!">
    </div>
  </div><br>
  <div class="row">
    <div class="col-md-6">
      <label for="inputState">Problem Related To</label>
      <select id="inputState" name="prob_opt" class="form-control" required="">
        <option selected="">Choose</option>
        <option>ATM/Debit Cards</option>
        <option>Internet/Mobile/Electronic Banking</option>
        <option>Account Opening/Diffculty in Operation</option>
        <option>Pension Facility For Senior Citizens</option>
        <option>Loans &amp; Advances</option>
        <option>Cheques/Drafts/Bills</option>
        <option>Bank Guarantees/Letter of Credit and Documentory Credits</option>
        <option>Staff Behavior</option>
        <option>Facilites For Customer Visiting the Branch</option>
        <option>Others</option>
      </select>
    </div>
    <!--<div class="g-recaptcha" data-sitekey="6LcyJTQjAAAAAEkKLagiNX4Xh9qWlkot2DKuR9gM"></div><br>            -->
    <div class="col-md-6">
      <label for="inputState">Problem Description</label>
      <textarea name="desc" oncopy="if (!window.__cfRLUnblockHandlers) return false; return false" ondrag="if (!window.__cfRLUnblockHandlers) return false; return false" ondrop="if (!window.__cfRLUnblockHandlers) return false; return false"
        onpaste="if (!window.__cfRLUnblockHandlers) return false; return false" col="10" row="10" class="form-control" required=""></textarea>
    </div>
  </div>
  <div class="col-md-6">
  </div><br>
  <div class="col">
    <button type="submit" class="custom-btn btn" name="send"> Send </button>
    <a href="download/Customer Grievance Redressal Policy.pdf" class="custom-btn btn" target="_blank" name="send">Customer Grievance Redressal Policy</a>
  </div>
</form>

Text Content

 * NET BANKING (VIEW) |
 * MOBILE BANKING |
   
   
   
 * DOWNLOAD |
   
 * SUGGESTIONS/COMPLAINTS |
 * ONLINE DISPUTE RESOLUTION
   |
   
 * Score Portal


 * About us
   * About Bank
   * Board of Directors
   * Bank Network
   * Bank Awards
   * Annual Reports
   * Social Activities
   * News & Events
   * Bank Photo Gallery
   * Bank Holidays
 * Deposit Schemes
 * Loans  
   * Term Loans
   * Business Loans
 * Banking Services  
   * Mobile Banking
   * Bank Charges
   * RTGS, NEFT Facility
   * CBS Link
   * NACH, IMPS Facility
   * Drafts Facility
   * Franking Facility
   * Locker Facility
   * Insurance Facility
   * D-Mat Facility
   * e-Payment Facility
   * ATM/Debit Card Facility
   * A/c Opening Form
   
   
 * Careers
 * Contact Us
   

 *       
   
   The Akola Urban Co-Operative Bank is registerd with DICGC


×



Customer Name (Please enter full name)
Account Number

Mobile Number
Email

Problem Related To Choose ATM/Debit Cards Internet/Mobile/Electronic Banking
Account Opening/Diffculty in Operation Pension Facility For Senior Citizens
Loans & Advances Cheques/Drafts/Bills Bank Guarantees/Letter of Credit and
Documentory Credits Staff Behavior Facilites For Customer Visiting the Branch
Others
Problem Description


Send Customer Grievance Redressal Policy

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RECENT UPDATE


 अकोला अर्बन बँकेला दोन मानाचे पुरस्कार प्राप्त, - बेस्ट मोबाईल अप्लिकेशन अवार्ड
व बँको ब्लु रिबीन अवार्ड 2023

Tenders & Auction
Recovery & Notes
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 Bank IFSC
Aadhaar Seeding Enabler






PRODUCTS TO MEET YOUR LIFE GOALS

SAVING ACCOUNT

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 * Students
 * Senior Citizen
 * SHG

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Click For Details

CURRENT ACCOUNT

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 * Business
 * Commercial
 * FAQ

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Click For Details

FIXED DEPOSIT ACCOUNT

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 * Dhanvardhini Deposit
 * FDR
 * JBY (RD)

--------------------------------------------------------------------------------


Click For Details


LOANS & ADVANCES

CASH CREDIT

   Hypo Cash Credit LAIP (T) LAIP (I)
 * Apply for Loan

TERM LOANS

   Gold Loan Vehical Loan Housing Loan Business Loan
 * Apply for Loan

LOAN AGAINST FDR

   ODCD LAFDR LAJBY LIC/NSC
 * Apply for Loan




BANKING FACILITY

RTGS / NEFT / IMPS

MOBILE BANKING / UPI

ATM / DEBIT CARD

D-MAT

HEALTH INSURANCE

LIFE INSURANCE

GENERAL INSURANCE

GOVERNMENT SUBSIDY

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DISCLAIMER

The payment to the claimant will be made by the branch where the account exist;
after thorough checking of the records by the branch official. If the payment
has already been made, the claim by the customer may be rejected.


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IMPORTANT LINKS

 * Deposit Insurance (DICGC)
   |
 * Attention Investors
   |
 * Unclaimed Deposit
   |
 * Mobile Banking Privacy Policy
   |
 * Social Media Guidelines
   |

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