Customer Complaint Form

Name: PH (HM): (MOB):
EMAIL: ADDRESS:
CURRENT STATUS: NEW CUSTOMEREXISTING CUSTOMERGENERAL ENQUIRER YOUR COMPLAINT IS REGARDING? FDB’s SERVICEFDB’s PRODUCTFDB STAFF
IS THIS THE FIRST TIME YOU HAVE MADE THIS COMPLAINT? YesNo
If NO, please give details of when and to whom the complaint was reported to?
ARE YOU LODGING A COMPLAINT ON BEHALF OF SOMEONE ELSE? YesNo
If YES, how are you related to the complainant? (Family, friend, legal representative etc). Please
provide details below - Name, relationship and contact details. If legal representative, name and contact details of company.
PLEASE PROVIDE DETAILS OF YOUR COMPLAINT BELOW.