Create Complaint

Receipt No: Service Type:
Complainant's Name: Booking Date:
Complainant's Contact No: (i.e 0333xxxxxxx, 051xxxxxxx)

Sender Detail Addressee Detail
Name: Name:
Address: Address:
City: City:
Email: Email:
Tel: Tel:
Mobile: Mobile:
Prefer Mode of Reply:    
Remarks:    
 
Attach file(if any):           Remove File