Online Consumer Complaint Form PART A: COMPLAINANT'S DETAILSFull Name: *Residential Address: *Postal Address: *Email Address: Contact Number: [ work / home / mobile]: *Enter your ID number: [ FNPF / TIN / Driving License ]: *Upload your ID: ( image / pdf ) * PART B: RESPONDENT'S DETAILSFull Name of the Business / Company / Landlord: *Address / location of the Business / Company / Landlord: *Contact Number of the Business / Company / Landlord: * PART C: COMPLAINT DETAILSEnter your Complaint details *Note: Please attach all documentary evidence - Receipts, contracts, reports etc and other information.Evidence 1 Evidence 2 Evidence 3 Evidence 4 Remedy you are seeking from FCCC Section VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: 2017-07-19
