Names of complainant*:
Occupation*:
Address*:
Country*
Phone*:
Email:

Complaint against*:

ICTs Transport Energy Water Sanitation
 MTN Rwanda Onatracom Electrogaz  Electrogaz COPED
 Rwandatel s.a Atraco     Tozisuku
ISPA Omega      
 Altech Stream Rwanda Impala      
 Altech Stream Rwanda Yahoo Express      
 Green Max Virunga Express      
Value Data Rwanda        
New Artel        
 Tele 10        
Axis SARL        
Other
Have you contacted your service provider about your complaint?      Yes           No 

Nature of Complaint          
          Billing issue
          Contract dispute (obey mutual conditions and agreements)
          Service delivery (installation, maintenance and disconnection)
          Unauthorized service transfer
          Other

Describe the facts of your complaint in chronological order. Please be as specific as possible, and include dates, times and names. Use additional sheets of paper, if necessary. Attach readable copies of any complaint-related contracts, bills, receipts, correspondence or any other documents you feel are related to your complaint.

Document 1:
Document 2:
Document 3:
Relief Sought by Complainant
Specify relief required
Have you filed this complaint with any other agency or organization? Yes           No
What action was taken?
Describe any legal action you have taken: