PSAU Feedback Form
Citizen's Feedback Form
Department or office concerned (Departamento o opisinang tinutukoy) *
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Compliment or suggestion (Papuri o Mungkahi)
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What is your complaint? (Ano ang iyong reklamo?)
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When did it happen? (Kailan po nangyari?) *
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What time did it happen? (Anong oras po ito naganap?) *
Time
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What would you like us to do? (Ano po ang gusto ninyong gawin namin?) *
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Your name (Inyong Pangalan)
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Address (Tirahan)
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Contact number (numerong maaring tawagan) *
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E-mail Address *
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Would you like a written reply? (Nais nyo po ba ng sagot na nakasulat?) *
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