Exit this survey AXELOS - Form to log a potential infringement 1. Contact details Question Title 1. Your Contact details Name: Company: Email Address: Question Title 2. Are you an Accredited Training Organization Affiliate Broker Other (please specify) Question Title 3. What is the nature of the infringement you are reporting? Grey training Misusing trademarks Copyright infringement Products/Publications File Sharing Other (please specify) Question Title 4. How did this infringement come to your attention? Question Title 5. What evidence do you have to support this infringement? Question Title 6. What is the territory of the infringement? Question Title 7. Details of infringement Name: Company: Address: City/Town: State: ZIP/Postal Code: Country: Email Address: Phone Number: Web Address: Question Title 8. Other comments Question Title 9. AXELOS will keep your information confidential. In submitting your details and ticking the relevant box we will use your information to fulfil your request to investigate a potential infringement. Your details will not be used for any other purposes. AXELOS will not rent, sell or pass any of your details onto interested third parties. I agree I do not agree Done