S40

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B. Who is the complaint against?

Name of organization complained against:
Address:
Postal Code:
Contact No. Fax No.:

Email address:

Please describe the principal activities of this organization:
(e.g. beverages manufacture/; apparel wholesaler, food products retailer/; construction,
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agricultural farming etc.)
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C. Relationship

What is your relationship with the organization against whom the complaint is made?
Supplier Customer Competitor
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Employee! Former Employee No Relationship
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Others
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For "Others", please specify:
D. Description of complaint

Please list all the evidence supporting your complaint and attach relevant documents, where
possible, to this complaint form:
(e.g. media articles, agreements, minutes of meetings, business documents, circulars,
correspondence, notes of phone conversations etc.)

Please also identify any part of the information that should be treated as confidential.
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E. Details of other parties

Name of party

Contact Details

Name of party

Contact Details

Name of party

Contact Details

F. Declaration

Select target paragraph3