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Complaint form
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Information of the person submitting the claim
Names and surnames
*
Your answer
Document type
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Choose
DNI
CE
Passport
RUC
Document number
*
Your answer
Email
*
Your answer
Cellphone number
*
Your answer
Department
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Your answer
Country
*
Your answer
If the service has already been performed, these data are necessary
Ticket / invoice number
*
Your answer
Date of service
*
MM
/
DD
/
YYYY
Detail of the claim/complaint
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Your answer
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