Not Satisfied About a Product or Service?

COMPLAINT FORM/FORM KONPLENT

1. COMPLAINANT PARTICULARS/LENFORMASYON KONPLENAN

NAME/NON:
N.I.N:
TEL:
HOME ADDRESS/LADRES LAKOUR:
WORK ADDRESS/LADRES TRAVAY:
OCCUPATION/LANPLWA:
CONTACT/KONTAK:

2. PARTICULARS OF RESPONDENT / DETAY LO SA PARTI KI KONPLENT PE GANNY FER.

NAME/NON:
ADDRESS/LADRES:
TEL/KONTAK:
BUSINESS/BIZNES:

3. PARTICULARS OF COMPLAINT / DETAY KONPLENT

a) Write exactly what took place and indicate what steps you have
taken to solve the problem. / Ekrir ekzakteman sa ki’n pase e endike
ki bann mezir ki Ou’n pran personnelman pou rezourd sa problenm.

b) Include copies of relevant documents such as receipt/Guarantee Card/ etc… / Enkli kopi dokiman relevan tel ki: resi, kart garanti, eksetera..

Receipt /Resi - Guarantee Card/Kart Garanti - Others Lezot dokiman

THIS STATEMENT IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF AS EVIDENCE TO THE INCIDENT OCCURRED/ SA LEVIDANS KI MONN DONNEN I VRE AN LEVIDANS AVEK SA LENSIDAN KIN ARIVE.

Word Verification: