S40 < •• B. Who is the complaint against? Name of organization complained against: Address: Postal Code: Contact No. Fax No.: Email address: Please describe the principal activities of this organization: (e.g. beverages manufacture/; apparel wholesaler, food products retailer/; construction, � agricultural farming etc.) � C. Relationship What is your relationship with the organization against whom the complaint is made? Supplier Customer Competitor � Employee! Former Employee No Relationship � Others � For "Others", please specify: D. Description of complaint Please list all the evidence supporting your complaint and attach relevant documents, where possible, to this complaint form: (e.g. media articles, agreements, minutes of meetings, business documents, circulars, correspondence, notes of phone conversations etc.) Please also identify any part of the information that should be treated as confidential. ....................................................................................................................................................... � ....................................................................................................................................................... � ....................................................................................................................................................... � E. Details of other parties Name of party Contact Details Name of party Contact Details Name of party Contact Details F. Declaration

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