Complaint form

    Choose the right Form


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    Full Name*

    National Id number

    Email*

    Phone Number*

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    Company Name*

    Postal code

    Email*

    Phone Number*

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    How did you complaint?*


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    Letter No.

    Registration date

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    Reference date

    Respondent name

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    Contact date

    Respondent name

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    Name of Product/Services*

    Product expiration date*

    Date Received*

    Product recipient expert*

    serial number*

    Testing Expert*

    Explanation and description of the complaint:

    Consumer verifier:

    Technical responsible approval: