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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:

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

T