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Libro de Reclamaciones
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* Indicates required question
Nombre completo / Razón social
*
Your answer
DNI / C.E. / RUC
*
Your answer
Domicilio
*
Your answer
Correo
*
Your answer
Teléfono
*
Your answer
Padre o Madre (para el caso de menores de edad)
Your answer
Identificación del bien contratado
*
Producto
Servicio
Required
Monto reclamado
*
Your answer
Descripción
*
Your answer
Detalle de la reclamación y pedido del consumidor
*
Reclamo
Queja
Required
Detalle
*
Your answer
Pedido
*
Your answer
Fecha de comunicación de la respuesta
*
MM
/
DD
/
YYYY
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