Applicant’s Basic Information
*Receiving Agency:
*Name:
*Date of Birth: (Date Format:2012/06/06)
*Mobile Phone: or Phone: 
E-Mail:  
*Residential address:
Nationality:
Gender:
Age:
Occupation:
Agent / representative
Name:
Residential address:
Mobile Phone:  
Phone:
E-Mail:  
Gender:
Deputy type:
Basic information on business operator
*Name:
*Address :
Person in charge:
Phone:
*Industry:

Complaint Content
Complaint Status:



Consumer Service Center.
* The Complaint in Brief:
(limited in 800 words)
Attachment:
File Format Restrictions *.txt;*.doc;*.docx;*.ppt;*.pptx;*.xls;*.xlsx;*.pdf;*.jpg;*.gif;*.png;*.bmp;*.odt;*.ods;*.odp;*.tif;*.tiff;*.jpeg
File Size Restrictions 6144 KB
File Description: 
Set Event Password
As part of the procedure for handling consumer disputes, this information will be provided to the business operator, so that the business operator will also know the reason for the complaint and what is being requested and respond accordingly; it will smooth out the process for the responsible authority involved. Please check the following items of information that you with to provide (at least one):
       
(To prevent your rights and interests from being affected, please provide a method for the business operator to contact you quickly and effectively.)