Sheet of Complaints

Required

INSTITUTO EDUCACIONAL FRANKLIN DELANO ROOSEVELT

RUC 20301385464

Av. Las Palmeras N° 325, Camacho, La Molina, Lima

Date

Must contain a date in M/D/YYYY format

1. IDENTIFICATION OF THE CLAIMANT CONSUMERrequired

Name

Last Name

Address:required

ID/DNI/PASSPORT/OTHER:required

Number

Telephone:

E-mail:required

IDENTIFICATION OF ONE PARENT OR LEGAL GUARDIAN (FOR CLAIMANT CONSUMERS UNDER 18)

Name

Last Name

Address:

Must contain only numbers

Telephone:

E-mail:

2. IDENTIFICATION OF THE CLAIMED PRODUCT OR SERVICE

Product

Service

Description:

Claimed amount:

Currency:

Soles

Dollars

3. DETAIL OF THE CLAIM OR COMPLAINT AND CONSUMER REQUESTrequired

Claim (disagreement not related to the products or services, or discomfort and discontent related to the public attention)

Complaint (disagreement related to the products or services)

Detail:required0 / 1000

Request:0 / 1000

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