QNET COMPLAINT FORM Complaint letter for P&P Violation, should be submitted to: Network Compliance Department (NCD) at Fax No, +852-2802-3286 or email to NCD@qnet.net COMPLAINANT: Personal Information: (Fill this section in Block letters) Full Name Somame FirstName Middle Tal Address Telephone | Home Email TID Number [Mobile Address Number RESPONDENT: This complaint relates to: (Fill this section in Block letters) Full Name Surname FirstName Midale Initial ‘Adress Telephone | Home TID Number [Mobile Address Number Details of Complaint (Specify dates, tie, location and action taken. Auach a separate page Ifyou need more room) hereby swear that the foregoing statement is true and correct of my own knowledge. 1am willing to face the respondent at any hearing convened by QNet Ltd, ifealled upon to do so for, the purpose of substantiating my complaint Signature over Printed Name Date Signed Received date and time of Complaint: 49/8, Bank of China Tower, No. Jarden Road, Cental, Hong Kong Tel: +852 2263 9013 Fax: +852 2802 0981