Pharmaniaga’s Complaint Form

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COMPLAINTS MANUAL SUBMISSION

    Sector*
    GovernmentPrivateInstitution
    Product Name*
    Product Code*
    Batch No.*
    Supplier / Manufacturer*
    Expiry Date*
    Affected Quantity*
    Delivery Order No.*
    Complaint Details*
    ProductItem Delivery / AcceptanceOthers
    Product*
    DrugMedical DeviceRaw Material
    Short SuppliedOver SuppliedDamagedWrongly SuppliedItem Not ReceivedWrongly DeliveredOthers
    Complaint Description*
    Replacement*
    RequiredNot required
    Attachment*
    Complainant Details
    Name*
    Position*
    Organisation*
    Phone No.*
    Email*