Complaints Book
  • Name*full name
    0
  • Address*
    1
  • Document Type*
    2
  • Document Number*
    3
  • Phone*
    4
  • Email*a valid email address
    5
  • Service Name*
    6
  • Comments*something more
    7
  • Complain Type*
    8
  • Complaint Description*something more
    9
  • 10
  • (*)*
    I have read, understand and agree to the terms and information entered into this form. I also understand that my claim is under Supreme Decree 011-2011-PCM.
    11
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