SYW

BORANG ADUAN PELANGGAN

SYARIKAT PERABOT WANGSA

A. BUTIR-BUTIR PENGADU

Nama :______________________________________________________________________________

No.KP :_____________________

Alamat :______________________________________________________________________________
_____________________________________________________________________________________

No.Tel :____________________

B. MAKLUMAT ADUAN

SURAT
TELEFON
DATANG SENDIRI
MEDIA SOSIAL
LAIN-LAIN (NYATAKAN)

Butir-butir aduan :
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Tandatangan :____________________________
Nama :____________________________
Tarikh :____________________________

C. KLASIFIKASI MAKLUMAT

ADUAN
MAKLUM BALAS
CADANGAN PENAMBAHBAIKAN

D. ARAHAN SIASATAN
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Tandatangan :__________________ Tarikh :___________________