Complaint&Appeal

Complaint Form

RSA Academy Malaysia Sdn Bhd

Name of Complaint *

Complainant's position in Company *

Complainant's Company/Employer *

Nature of Company/Employer Business *

Complainant's Address *

Complainant's Telephone Number *

Complainant's Email Address *

Date of Complaint *

Isolated/Repetitive Incident *

Name of Individual subject to complaint *

NIPCS Number of Individual *

The Nature of Complaint *

Technical
Code of Conducts

Is the complaint to do with IPCS remote examination centre:(if YES please state location)*

If you are making a complaint against an individual within IPCS administrative body, please complete below: (Name of individual the complaint about) *

Summary of Complaint *

Signature of Complaint *

Date *