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Complaint & Feedback Form

ASCANA – TAKAFUL is highly committed to providing quality services to our customers. Your feedback is important to us. Please fill the form below and we will contact you as soon as possible.

NameName:
Date
Organization Name(If Applicable)
Policy Holder Name
Policy Number
Claim Number
Contact No
Email
Department/Branchpick one!
Line of Businesspick one!
Briefly Describe your Complaintmore details
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Suggestion(s)/Feedbackmore details
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