FICHE DE DENONCIATION
IDENTIFICATION DU DENONCIATEUR
Adresse e-mail
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Statut du dénonciateur
Entreprise
Association
Consommateur
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Nom(s)
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Adresse et localisation
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Nom du responsable
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Qualité
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Téléphone
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IDENTIFICATION DE LA STRUCTURE DENONCEE
Dénomination
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Activité
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Localisation
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Motifs de la dénonciation
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Observations
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