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CGSO Complaint Form
Personal Details
Tell us about yourself:
Title
Mr
Mrs
Miss
Ms
Dr
Prof
Adv
First Name
Surname
*
ID Number
Age Group
18-39 years
40-59 years
60-79 years
80-99 years
No Age Provided
Gender
Male
Female
Please enter your address and contact details:
Address Line 1
Address Line 2
Postcode
Province
*
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
North West
Northern Cape
Western Cape
Mobile Phone
*
Alt Contact Number
E-mail Address
ONLY fill in this part if the complainant is a company
Company Name
Company Type
Close Corporation
Private Company
Trust
Sole Proprietor
Not Applicable
Annual Turnover
Less Than 2M
Greater Than 2M
Not Applicable
Supplier Details
Contact details of the supplier against whom the complaint is made:
Name of Supplier against whom complaint is lodged
*
Supplier Email Address
*
Supplier Branch
Supplier Staff Member Who Assisted
Supplier Telephone Number
Supplier Fax No
Supplier Address Line 1
Supplier Address Line 2
Supplier Postcode
Complaint Details
Please enter the complaint details:
Have you tried to resolve this complaint with the Supplier before lodging a complaint with us
Yes
No
Description of Complaint
*
How would you like this complaint to be resolved?
Product
*
Animals and livestock
Building Material
Cell Phones
Chemicals
Clothing
Computer and Accessories
Cosmetics
Electrical Appliances
Food and Beverage
Footwear Apparel
Furniture
Generators
Hardware Supplies
Home Decor and Kitchenware
Home-care products
Jewellery
Linen and Bedding
Luggage and Bags
Medical Equipment
Pet Food and Products
Plants and Gardening
Power Tools
Services
Solar Systems, Inverters and Batteries
Sport Goods
Stationery
Textiles or Fabrics
Timeshare
Tobacco Products
Tombstones
Tools
Toys
Vehicles, Motorcycles, Boats and Parts/Accessories
Brand
Model
Nature
*
Agreements
Deposits
Disclosure
Goods
Health and Safety
Marketing
Services
Treatment
Unrest
National Shutdown 20 March 2023
Purchase Type
Cash
Account
Online
Via Telephone
Amount Claimed
ZAR
If this complaint is linked to an account or membership, please provide the account or membership number
Purchase or Delivery Date
Date Problem Reported
Details of Steps Taken to Resolve
How Did You hear About CGSO
Internet
TV
Friend
Newspaper
Radio
NCC
Legal Advisor
Relative
OCP
Supplier
CGCSA
Other
Other Ombud
Social Media
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