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Name

First Name

Last Name

City*

State*

Zip code*

Mobile No*

Registered Email ID*

Company location

Service Category*

Course Name*

Batch No*

Date of Service*

Location where the complaint occurred*

State the nature of the complaint*

Whom did you contact*

In what mode*

The information you provide will be used in efforts to resolve your complaint. By submitting this complaint you are intending to discuss a possible resolution to your complaint. Submission will be accepted by Email/Hardcopy and not by any other mode of communication.

I hereby certify that all of the information I have given above is true and complete to the best of my knowledge.

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