Proforma for Lodging Complaints Date of Complaint ...... Complaint Reference No. ......... (To be given by the CSC Staff) 1. Consumer No. : 2. Name of the Complaint : 3. Full address of the complainant : 4. Telephone No : 5. Brief Description of the Complaint : 6. Any other information : 7. Supporting documentation (if any) Signature of the Complainant
