Complaint Form
Complaint Form
Complaint Form
15-Apr-2024
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3. NAMEIS OF RESPONDENTIS
5 OWNERIMANA[}ER.
6 CAUSE/S OF ACTION:
(x) vroLATroN oF THE CONSLTI\4ER ACT OF THE pHILipptNES
(R.A. 7394) , MORE PARTICULARLY.
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Rev0012073
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(xi PROVISIONS ON DEFECTIVE PRODUCTS AND SERVICE
IMPERTECTION
() PROVISIONS ON ADVERI'ISING AND SAI,ES PROMOTION
i) CHAIN DISTRIBUTION PLANS OR PYRAMID SALES SCHEMES
{} OTHER PROVISIONS CONTAINED THEREII.{,
SECIFICALLY:
ANDif}R
(X) NARRATI0N
RECEIPTS
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AND SWORN TO TFIIAPR 1 &.ffiSF
ST.TBSCRIBED AFF'AINT/S
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TiAV1NG EXHItsITED TO ME HIS,,HEI{ITHEIR COMMTJNITY CER]]iFICAT.E
].{I}, ISSUED ON AT AND
T{ISIFIER/THEIR GOVERNMENT-TSSUED IDENTIFICATION CARD NO"
AS FOLLCWS
ADJLTDICATiON OFFICER
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