ansactions中国工商银行:ICBC,本人所持卡号卡片有效期,现申明在(日期)(国家或地区)?(商户名称)交易总额为的交易非本人交易,即交易非本人所为,本人拒绝支付上述款项,请予以调查处理。Mycardnumberis____________andthecardisvaliduntil_______.Iherebystatethatthetransactiondatedon________in________(countryorregion)with________(nameofmerchant)totaling________(volume)isnotmadebymyself.Itisanon-cardholdertransaction.Iherebyrefusetopayfortheabovementionedtransaction.Pleaseinvestigateandhandleit.交易发生时本人身处的国家(地区)为,城市为,未曾参与上述交易,对此本人愿意提供证据予以证明。Whenthetransactionwasmade,Iwasin______(city)of______(countryorregion)andwasnotinvolvedintheabovementionedtransaction.Iamwillingtoprovideevidencetoproveit.对具体情况的说明:Detailedexplanation:本人陈述:上述情况属实,本人愿意承担由此产生的一切法律后果。Personalstatement:theaboveinformationistrueandIamwillingtotakeanylegalconsequencesincurred.本人签名:Signhere:_________ 年月日Date:____________
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