Complaints Form

Complainant

Fullname

Address

Nationality

Passport Number

Phone

Fax

Email*

Contact Preference

Phone

Email

Fax

Did you approach the individual/company that you have complaint against?

Yes

No

Complaint Type

Please tick the nature of the Complaint

Complaint Against a listed company

Against an entity/ person licensed by the Authority

Against an entity/ person registered by the Authority

Against Other

Any Other

Complaint made against

Fullname

Address

Nationality

Passport Number

Phone

Fax

Email*

Response

Description of the Complaint

Description