Complain Operator Feedback Form
Fields marked
*
are mandatory.
A. PERSONAL PARTICULAR
Full Name
*
:
Address
*
:
NRIC No.
*
:
Tel No.
*
:
Sex
*
:
Male
Female
Nationality
*
:
B. OPERATOR PARTICULAR
Operator
Name
*
:
No. Kod
.
:
Date Complain
*
:
Time Complain
*
:
Date On Call
*
:
Time On Call
*
:
C.
COMPLAIN ISSUE
Tidak Bersopan Santun
Perangai Kasar
Servis Tidak Baik
Tidak Bertolak Ansur
Bertengkir
Lain - Lain
D. Message