Complaint Form

First Name

Last Name

Business/Company Name

Gender

Identification Type

ID Number

Nationality

Country of Residence

Phone No. (Optional)

Email Address

Category of Complaint

Summary of your Complaint

Details you provide will help us better understand your complaint.

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I hereby confirm that the information I have provided is true, and I am aware that my information will be verified by relevant MDAs/Authorities, partners or entities involved and all other related sources if necessary. I am also aware that this information can be used in the Courts of Law.

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