Complaint Form For Veterinary Product
This complaint form is subjected only for issues related to veterinary products, including but not limited to the misuse of veterinary products, antibiotics, vaccines, hormones and veterinary biologics.
Name
*
Identity No.
*
Address
*
Postcode
*
State
*
-- Please Select --
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Pulau Pinang
Perak
Perlis
Selangor
Terengganu
Sabah
Sarawak
Wilayah Persekutuan Kuala Lumpur
Wilayah Persekutuan Putrajaya
Wilayah Persekutuan Labuan
District
*
-- Please Select --
Contact No.
*
Email
*
Confirm Email
*
Complaint
Type of Complaint
*
-- Please Select --
Veterinary issues (banned, unregistered, spoiled or expired veterinary product)
Misconduct of veterinary practice while using veterinary product
Adverse EVENT OF veterinary product that IS registered WITH NPRA
Product Name
Statement of Complaint
*
Location of Incident
*
(Full Address)
State of Incident
*
-- Please Select --
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Pulau Pinang
Perak
Perlis
Selangor
Terengganu
Sabah
Sarawak
Wilayah Persekutuan Kuala Lumpur
Wilayah Persekutuan Putrajaya
Wilayah Persekutuan Labuan
District of Incident
*
-- Please Select --
Upload Evidence
*
(File Type : .png, .jpg, .gif)
(File Size : 10MB max)
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I acknowledge that the information I have provided in my complaint is accurate, and I take full responsibility for it. However, the Department of Veterinary Services Malaysia is not responsible for any inaccurate data submitted by the complainant.
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