1
Reporter Information
2
Complaint Details
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Full Name
Email
Phone Number
Organization/Affiliation
Would You Like To Remain Anonymous?
Yes
No
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Type of Complaint
Complaint Against Practitioner
Report An Incident
Practitioner Info
Name of Practioner
Organization/Company
Engineering Class
Civil
Mechanical
Electrical
Chemical
Incident Info
Date of Incident
Location
Have You Reported This Elsewhere?
Yes
No
Where was this Reported?
Licensed Body (GhIE/IET)
Police
Media
Local Assembly
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