New Application


Serial Number
Complaint No

Complainer Information

Complainer Name Complainer Name 2

Address Address

Road Road
City City
Telephone No Telephone No


Industry Information

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Upload Scan Copy

Information about Complaint

Date Responsible Unit/Office
Telephone No Refer
Refer Address Description


New Application


Serial Number
Complaint No

Industry Information

Complainer Information

Complainer Name

Address

Road
City

Upload Scan Copy

Upload Scan Copy

Information about Complaint

Description



New Application


Serial Number
Complaint No

Complainer Information

Complainer Name

Address

Road
City

Upload Scan Copy

Upload Scan Copy

Information about Complaint

Description