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CORPORATE

MEDIA CENTER

INNOVATION & TECHNOLOGY

Customer Complaint Form

CUSTOMER COMPLAINT FORM

First and last name of the feedback owner:

Institution or organization where the feedback owner works:

Feedback owner's contact number:

Feedback owner's email address:

Date of feedback:

Type of feedback:

Satisfaction Recommendation Complaint

Describe the service/product that is the subject of the feedback:

Subject of feedback:

Captcha Resmi