REGISTRAR-GENERAL’S DEPARTMENT

COMPLAINT FORM
 
Please complete the form below for your complaint
 
* are mandatory fields and need to be filled

1. Complainant Details

Date
Surname *
Other Names *
Address Street Address
Street Address Line 2
Telephone Number
Mobile Number
Fax Number
Email address *

2. Complaint Details

Nature of Complaint *

Please Specify
Specific Details of Complaint *
Attached file (Max file size 5Mb)