ORCA SMOALOGI GROUP

1. Details of the consumer filing

Identification of the consumer filing the claim.

First name *

Paternal surname *

Maternal surname *

Document type *

Document number *

Email *

Mobile(optional)

Home address *

Is the consumer a minor? *

YesNo

2. The goods or service contracted

The product or service you are claiming about.

Type *

ProductService

Amount claimed (S/)(optional)

Use a decimal point, e.g. 45.90.

Description *

3. Details of the claim and what you are asking for

Type *

ReclamoA disagreement about the product or the service.QuejaA disagreement about the attention you received.

Details *

What you are asking for *

4. DeclarationI authorise the processing of my personal data in order to handle this claim, as described in the privacy policy.I declare that the information provided is true.

* The provider must respond to the claim within fifteen (15) working days.

* Filing this claim does not prevent you from using other dispute resolution channels, and it is not a prerequisite for reporting to Indecopi.

* We may contact you once the claim is resolved to assess the quality of the process.

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