Suggestions and Complaints Form
SUGGESTIONS AND COMPLAINTS FORM
Client Name:..................................................................................................................................
Client Name:..................................................................................................................................
Client Unique Identification Number (AQN-ID):...............................................
Address:..................................................................................................................................................
Telephone:....................................................
Please tell us what your complaint is about:
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FOR INTERNAL USE ONLY REF. NO:
The complaint concerns claim regarding ICF Yes No
Details:
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Compliance Officer Comments:
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Managing Director Comments
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FOR INTERNAL USE ONLY REF. NO:
The complaint concerns claim regarding ICF Yes No
Details:
............................................................................................................................................................................................................................................
Compliance Officer Comments:
.................................................................................................................................................................... ...............................................................................................................................................................................................................................................
Managing Director Comments
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Date of communicating the final decision:...........................