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legal forms - complaint NTC Office of the President (Philippines)
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Republic of the Philippines
Office of the President
National Telecommunications Commission
ONE STOP PUBLIC ASSISTANCE CENTER
Bir Road, East Triangle, Diliman,Quezon City
COMPLAINT FORM
On Various Service Providers (TELCOS & Broadcasting)
Reference Number:____________________
I. COMPLAINANT DETAILS:
Name :______________________________________________________
Address :______________________________________________________
______________________________________________________
Contact Number : ______________________________________________________
_______________________________________________________
II. RESPONDENT DETAILS::
Name/ :_______________________________________________________
Address :_______________________________________________________
Contact number :_______________________________________________________
III. NATURE OF COMPLAINT:
( ) Billing Complaint
( ) Poor Services
( ) Others, Pls Specify ; __________________________________________________
________________________________________________________
IV. NARRATION OF COMPLAINT:
V. PROOFS / EVIDENCES ( ATTACHED):
__________________________________________________________________________________
__________________________________________________________________________________
___________________________________
COMPLAINANT
SIGNATURE OVER PRINTED NAME