S25 Addresses: Contact No. Fax No. � Email addresses: � C. Relationship What is your relationship with any of the company you are complaining about? - Name Supplier Competitor Customer - Employee/Former Employee - No Relationship Others - - For "Others", please specify: D. Detail of complaint Nature of anti-competitive activity complained against: - Fixing Prices - Bid Rigging (Collusive Tendering) Sharing Markets Limiting or Controlling Production/ Investment - - Conduct by Dominant Company which has the effect of hamming competition (e.g. predatory pricing) Others For "Others", please specify: What are the goods and services to which the anti-competitive activity relates? Please describe the anti-competitive activity you are complaining about and explain how it affects you or the organization you are representing: When did this anti-co~1petitive activity start? Is this anti-competitive activity still continuing? If not, when did this anti-competitive activity end?

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