COMPLAINT ANSWER FORM

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					                     ADVERTISING STANDARDS AUTHORITY MALAYSIA

COMPLAINT ANSWER FORM

NAME OF RESPONDENT ADVERTISER/AGENCY _________________________________________

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ADDRESS _________________________________________________________________________

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TEL_______________, FAX ______________, EMAIL ______________________________________

SUBJECT MATTER __________________________________________________________________

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SUBSTANTIATION OF CLAIMS * [state briefly and concisely]




[Kindly attach substantiation]



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SIGNATURE

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NAME OF SIGNATORY

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DESIGNATION

__________________

DATE



P.S.:- * PLEASE USE ADDITIONAL SHEETS IF SPACE IS INSUFFICIENT



       Unit 706, Block B, Pusat Dagangan Phileo Damansara 1, 9 Jalan 16/11, Off Jalan Damansara, 46350 Petaling Jaya, Malaysia.
                                  Tel: 603- 76608535 Fax: 603-7660 8532 Email: asa@macomm.com.my