工商银行 非本人交易附加说明.doc
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附表2：Attachment 2非本人交易附加说明Supplementary Statement on Non-cardholder Transactions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My card number is ____________ and the card is valid until_______. I hereby state that the transaction dated on ________ in ________ (country or region) with ________ (name of merchant) totaling ________ (volume) is not made by myself. It is a non-cardholder transaction. I hereby refuse to pay for the abovementioned transaction. Please investigate and handle it. 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。
When the transaction was made, I was in ______ (city) of ______ (country or region) and was not involved in the abovementioned transaction. I am willing to provide evidence to prove it. 对具体情况的说明：Detailed explanation: 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。
Personal statement: the above information is true and I am willing to take any legal consequences incurred. 本人签名：Sign here:_________ 年 月 日Date: ____________。
