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* 1. Personal Identity Preference

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* 2. Your relationship to SalamAir:

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* 3. Name:

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* 4. Contact Details (phone number/ email):

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* 5. Describe issue to be reported:

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* 6. Who was involved:

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* 7. Are there witnesses? If yes please provide details

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* 8. Date/ time of incident:

Date
Time

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* 9. Location of incident:

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* 10. How did you become aware of this issue?

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* 11. Is there physical documentation or evidence? If yes please provide.

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* 12. Any other attachment:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 13. I hereby declare that the information provided is true and correct to the best of my knowledge.

T