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Market Surveillance Complaints Form

GENERAL INFORMATION
(This question is mandatory)
Contact name
(This question is mandatory)
Telephone no.
Mobile no.
Address
(This question is mandatory)
Email address
Please ensure that the email address is correct as it will be used for acknowledgement purposes and also to get in touch with you.
REMARKS
(This question is mandatory)
Please enter your remarks
Please attach any relevant documents (if any). Example: photos, invoices etc.
DECLARATIONS
(This question is mandatory)

Content Declaration

(This question is mandatory)
Data Protection Declaration