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Customer Complaint Form

Complaint
Received From

Date
Complaint No (collect from MR)
Company Name
Contact Person
Telephone
Fax
(To be filled by complaint who received.)

Description of complaint: (Attach the complaint if required)

Reported by:

Observation of Requester

Signature of Requester

Forward the complaint and observation to Management Representative

To be filled by Management Representative

CPAR DATE CPAR NO.

MANAGEMENT REPRESENTATIVE FACTORY MANAGER

FM/SM/11, REV NO: 00 Date: 17.08.2019 Page 1 of 1

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