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Complaint Form (FA_49)

Fill Complaint Form below or download Formate and send it info@icspl.org

Select Company

Complain Type

General Complain

Posh Complain

1.1

Name of Client / Person:

1.2

Address 1:

1.3

Address 2:

1.4

City:

1.5

State

1.6

Country:

1.7

Phone / Mobile No:

1.8

Fax No.

1.9

Email:

1.10

Details of person acting on behalf of complaint (if applicable)

1.11

Person to be contacted (if different from above)

Product/Service Description

2.1

Reference number of product/order (if any)

2.2

Description of Complaint :

Nature of Complaint

3.1

Date Of Occurance

3.2

Description

3.3

Did you lodge a Complaint With Interested party

3.4

If yes Mention Complaint No. & Date & Response

3.5

If No Mention Reason For Doing Not

Note

3.3,3.4,.3.5 Applicable If Complaint Not Against ICS

Remedy Requested /Expected

Do you have any objection in this complaint contents be made avaliable to interested parties/stake holders (strike as applicable:

In case you wish some portion of this complaint be hidden pleast tick what should not be shared:

1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11
2.1 2.2 3.1 3.2 3.3 3.4 3.5 4

Reason for not sharing that information:

Complaint Related to ICS Station: