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Complaint Form
DOST form for complains
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Department of Science and Technology
COMPLAINT (REKLAMO) FORM
Date (Petsa): ______________________
Name of Complainant: ______________________________ Tel/Fax/CP No. ___________________
(Pangalan ng Nagrereklamo)
Name of Office: ____________________________________ Email Address: ___________________
(Pangalan ng Tanggapan)
Residence Address: _________________________________________________________________
(Tirahan)
Name of Person Being Complained of: ___________________________________________________
(Pangalan ng Taong Nais Ireklamo)
Particulars of Complaint (Detalye ng Reklamo):
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
____________________________
Signature (Pirma)
