
Personal Info
ID No.	* Wrong ID No.
Full Name	*
Nationality
City
Mobile No.	* Wrong No. (To Follow up through SMS)
Fax No. (optional)	Wrong No.
E-mail	* Wrong E-mail (To Follow up through E-Mail)
Suggestion to/ Complaint for
Department
Employee Job
Office No. (optional)	Wrong No.
Employee Name (optional)
Suggestion/ Complaint Info
Type	Suggestion Complaint
Title	*
Suggestion/ Complaint Detail.	*