Complaints & Inquiries

Please Note: As part of the complaint handling process, the Commission may send a copy of this form to the company against whom your complaint is filed. For faster handling of your complaint please endeavor to give accurate information.

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1 Step 1
PART A: PARTICULARS OF COMPLAINANT
Full Nameyour full name
Address: P. O. Box.
Telephone No:
Mobile
Date
City/District/Town
Nature of BusinessNature of Business or if Personal/Individual

PART B: COMPLAINTS INFORMATION

Service Provider Complained Against
Type of Service/Product purchased
(Please select the category that best describes your complaint)
Complaint CategoryTick Appropriate
Other (Please specify)if not listed in categories above

PART C: FACTS/EXPLANATION OF THE COMPLAINT

(Briefly narrate the complaint or alleged practice by the Service Provider)

Alleged practice by the Service Providermore details
0 /

PART B: VERIFICATION

Have you exhausted the complaints mechanism provided by your service provider?

Complaints MechanismPlease Tick
Indicate the remedy sought
Name/Contact of person Complained to (if applicable)

Have you taken any legal Action?

Legal ActionTick
Current Status
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