Customer Complaint  
         
  Customer Complaint
 


   
Customer Complaint

GENERAL INFORMATION
Maklumat Am
Date Received :
Tarikh Terima :
05/07/2008 Time Received :
Masa Terima
7:34 AM
Name :
Nama
*
 
IC Number :
No Kad Pengenalan
*
 
Company Name :
Nama Syarikat
Address :
Alamat
Postcode :
Poskod
State :
Negeri
City :
Bandar
Position/Post :
Jawatan
Tel Number :
No Telefon 
*  
Tel Number (HP) :
No Telefon Bimbit
Fax Number :
No Faks
Email :
Email
*  
 
LGM Reference No (If Any)
No Rujukan LGM (Jika Ada)
Company Reference No (If Any)
No Rujukan Syarikat (Jika Ada)
Complaint Category
Kategori Aduan
*
 
SUBJECT OF COMPLAINT/SUGGESTION
Aduan/Pandangan
* Required field / Perlu disi

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