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Complaint Form
Client Information
Name, Surname/Corporate name *
Personal number/Identification code *
 
Complainant
(Filled in if the client and the complainant are different persons)
Name, Surname
Personal number
Relationship of the complainant with the client
v
 
Contact Information
Telephone number *
Actual address *
E-mail *
 
Please assign the complaint to one of these areas *
 
The content of the complaint
 
I confirm that the contact details given herein are true and correct, and I agree the response to be sent in the written/electronic form to my actual/e-mail address or be delivered in person, which shall be considered as confirmation of receipt of your response to my complaint *
 
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