Borang Rasmi - Kementerian Pelancongan dan Kebudayaan Malaysia borang aduan kpl en

MINISTRY OF TOURISM
MALAYSIA
PERSONAL PARTICULAR
1. NAME
2. GENDER

MALE

FEMALE

3. AGE

4. I.D NUMBER/PASSPORT

5.OCCUPATION

6. CITIZEN

7. COUNTRY OF ORIGIN

8. ADDRESS

9. TEL. / HP NO.

10. FAX NO.

11. EMAIL
STATEMENT OF COMPLAINTS
(Please provide proof/supporting documents/photo if available)

Acknowledgement : I hereby acknowledge that all information provided above is correct

Date : ____________________________

Signature : ______________________________
FOR OFFICIAL USE

TYPE OF COMPLAINTS :

COUNTER

LETTER

TELEPHONE

EMAIL

OTHERS

Pls Specify
______________

Date : _______________________
_______________________________
(Name, Signature & Cop)

Action Taken : ___________________________

Type of Action : _________________________

Corporate Communications Unit, Level 15, Tower 1, No.2, Jalan P5/6, Precint 5, Federal Government Administration Centre, 62200

Putrajaya

Tel : 03-8891 7000 Fax : 03-8891 7181 website : www.motour.gov.my email : info@motour.gov.my