First Name *

Last Name *

Email *

Mobile Number

Name of the organisation you represent *

Address *

Date of the incident *

Subject of the complaint *

Description of the complaint *

Expected/desired outcome *

I confirm that the above information which I provided is true, accurate, and complete.

We will investigate your complaint fairly, impartially, diligently, and confidentially. However, we may need to disclose your personal information or seek further information about you and your complaint during the investigation. The time we need to investigate your complaint depends on the complexity of the issue and the number of parties involved.
I consent that Leaders International can disclose my information to any third party during the investigation.