Libro de Reclamaciones EN

Customer Complaint Form

We’re here to help you register your complaint.

Date:

RUC: 20602393799

Address: Av. Paseo de la República N° 5895 Piso 11 Edificio Leuro – Miraflores. Lima – PERU

N° [form_number]

Full Name*:

Address*:

Identification Number*:

Phone Number*:

Email Address(3)*:

Confirm Email Address*:

ProductService

Amount in Dispute:

Description:

(1)Complaint: Dissatisfaction related to a product or service.

(2)Feedback: General dissatisfaction not directly related to the product or service.

ComplaintFeedback

Affiliated Business:

Reference (Customer ID, Ticket Number, etc.):

Issue Description*:

Requested Resolution*:

Attach Supporting Documents*:

*By submitting this form, you confirm that you have carefully reviewed our [Privacy Policy].

*(3)By providing your email address, you agree to receive responses via email.

*If you're unable to complete or submit this form online, please visit our office to file your complaint manually.