Brief Summary of the Complaint. Please describe the product or service you are complaining about (description, evidence, amount and suggested way to be solved): - Please enclose any other relevant documentation that may help us to handle the complaint. - Possible documentation to be provided (client statement, correspondence with the Company as well as any other supporting documentation to be requested by the Compliance Officer which is relevant to the Client’s complaint) Date and place Client Signature For internal use only: Complaint Received By: Date: Acknowledgement sent to Client: □ Yes - □ No Informed Client of initial action: □ Yes - □ No Final response provided to Client: □ Yes - □ No Holding response provided to Client: □ Yes - □ No - □ N/A
Brief Summary of the Complaint. Please describe the product or service you are complaining about (description, evidence, amount and suggested way to be solved): - Please enclose any other relevant documentation that may help us to handle the complaint. - Possible documentation to be provided (Customer statement, correspondence with the Company as well as any other supporting documentation to be requested by the Compliance Officer which is relevant to the Customer’s complaint) Date and place Customer Signature Complaint Form For internal use only: Complaint Received By: Date: Acknowledgement sent to Customer: Yes ☐ No ☐ Informed Customer of initial action: Yes ☐ No ☐ Final response provided to Customer: Yes ☐ No ☐ Holding response provided to Customer: Yes ☐ No ☐ N/A ☐ Signature of Compliance Officer: Date:
