The information provided on this form will be used exclusively to resolve your complaint/appeal. None of the information you provide on this form or during the complaints and appeals process will be disclosed to anyone outside of mteSA without your permission, unless required to do so by law.

I acknowledge that all of the information provided in this form is true and correct to the best of my knowledge and I will participate in the complaints and appeals process with a view to come to a suitable resolution for all.