No: RACS/REC/17/XX

Date: dd/mm/yy

Client Details:

Please fill in the information (Please add N/A if not applicable)

Client ID:
Name of Organization:
Address:
Email:	Telephone:
Contact Person:	Date of Application:
Date of Evaluation:	Date of Certification:

Case Details:

Type of Certification	Facility Product
Sector (Product/ Group)	Chemical Halal Products Food Electrical
Scope of Certification	Cosmetics Detergents Perfumes Tobacco (Cigarettes, Moassel, Dokha) Children Toys Oxo-Biodegradation of Plastic Bags and Other disposable plastic object. Petroleum (Diesel, Lubricant Oils) Retreaded Tires Liquefied Petroleum Gas Cylinder (LPG) Food Contact Material Halal Food Halal Cosmetics Halal Slaughtering Houses Paint Pesticides Organic Foods Energy Drinks Water Electrical & Gas Appliances Others, please specify ______________________________________

COMPLAINT INFORMATION
Complaint Date:	Complaint taken by:
Complaint Details: ________________________________ Customer Signature

For RACS Quality Certification Body use only:

Identify cause of complaint:
Corrective Action taken (If needed):
Personnel in-charge to Follow-up with Clients:
Client Feedback after follow-up
Reviewed by (with Remarks)
Position& Signature
Approved by (with Remarks)
Position& Signature