An institution set up under the Equal Opportunities Act (EOA) 2008 as subsequently amended.The EOC’s objectives are inter-alia, to promote equal opportunity between persons,

COMPLAINT FORM
 
* are mandatory fields and need to be filled

PARTICULARS OF COMPLAINANT

(To be filled in by the complainant or the person assisting him/her)

1 Title*
2 Full Name *
3 National Identity Card Number (Please attach photocopy)*
4 Address *
5 Occupation
6 Telephone Number(Home) * (Work) *
7 Mobile Number * Fax Number
8 Email address *

PARTICULARS OF RESPONDENT(S) Alleged Discriminator(s)

1 Name of person(s)/ organisation(s) complained against *
2 Address *
3 Tel * Fax
4 Email address
5 Relationship to complainant (aggrieved person) *

1. Status of Complainant

Please specify the Grounds on which you felt discriminated or have been treated less favourably. Explain exactly what happened and the circumstances that led to same. (Be brief and precise). If you need more space, please use additional sheets of paper which must be duly numbered and signed by you.

(Please refer to the Interpretation of Section 2 of the Equal Opportunities Act 2008 for particulars.)*

2. Why according to you did the respondent(s) act in such a way?

3. How has this problem affected you? What prejudice have you experienced and what would you like us to do following this complaint?

4. Do you have any witness(es)?

Yes No If Yes, please specify their names and respective contact address

5.Other Institutions

Have you submitted a complaint against the same person/organisation in relation to the same facts to another institution/court?
Yes No
If Yes, please specify the name of the institution(s) and the date of the complaint.
(Annex photocopies of same)

6.Any other relevant information you would like to provide?

7. Documents

Please attach copies of all relevant documents. If you cannot provide same, kindly inform us where they may be obtained from
Attached file (Max file size 5Mb)

Declaration

*

I hereby declare that I am making this complaint in good faith and that the facts contained therein are true and correct and regarding which I assume full responsibility.

 

For further information, please contact the Equal Opportunities Commission on 201 1074/ 201 3502. You are advised to access our website eoc.govmu.org wherein reference is made to the Equal Opportunities Act 2008 (as amended) before filling this complaint form. You can also fax your complaint form on 201 3408 or email it on eoc@govmu.org.

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