Food Safety and Quality Authority
The Gambia
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+ (220) 446-6797
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Consumer Complaint
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Consumer Complaint
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Consumer Complaint
1. Particulars of Complainant:
1.1. Name of Complainant
1.2. Address
1.3. Phone
1.4. E-mail
2. What is your complain related to (Please tick and proceed)?
Product
Hygiene
Foodborne incident
3. Product information
3.1. Type / Description of Product:
3.2. Brand Name:
3.3.1 Name of Manufacturer:
3.3.2 Address of Manufacturer:
3.4. Batch Code / Batch No./ Lot No.:
3.5. Date of Manufacture:
3.6. Expiry / Best Before / Use by Date:
3.7. Place of Purchase:
3.8 Date of Purchase:
3.9 Nature of Complaint:
4. Hygiene Information
4.1. Name of Food Establishment/Vendor:
4.2. Address of Vendor:
4.3. Description of Hygiene issue:
5. Foodborne Incident:
5.1. Name(s) and Number(s) of Affected Person
4.2. Suspected Food:
4.3. Date / Time Consumed:
4.4. Source of Food (please tick):
Restaurant
Street Vendor
School Canteen
Testing
4.4.1. Other food source (if applicable):
4.3. Description of Foodborne incident:
6. Other form of Compliant
6.1. Give detail description:
Submit Complaint
