Lodge Complaint
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Use this form to submit complaint. Required fields are marked with *

A.Complaint Details

Name of individual involved:*
Department:*
Complaint:*
Incident Date & Time:
Location of Incident:*
Estimated Value Involved: (RM)
Other Parties Involved:
Attachments:

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B.Complainant Details

Name:
Phone Number:
Email:*

Notice:
  1. For your information, the details of the complainant and the particular of the complaint are classified.
  2. Kindly provide a valid email address for future correspondence.
  3. Compulsory field are marked with *.

I hereby declare that all the information given herein are made voluntarily and are true to the best of my knowledge.

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