Customer Complaint Form

# Webalizer V2.23-08 History Data - 05/May/2026 19:07:33 (120 month) 5 2026 242673 0 1 65882 1 5 242673 5 4 2026 1555205 0 1 422214 1 30 1555205 1 3 2026 1606988 0 1 436272 1 31 1606988 1 2 2026 1451563 0 1 394077 1 28 1451563 3 1 2026 1588152 0 1 429036 1 31 1588152 2 12 2025 1606106 0 1 403312 1 31 1606106 1 11 2025 1555244 0 1 347804 1 30 1555244 1 10 2025 1607080 19 1 360080 1 31 1607080 1 9 2025 1555267 0 1 347809 1 30 1555267 2 8 2025 1607114 0 1 359403 1 31 1607114 1 7 2025 1607143 0 1 359410 1 31 1607143 1 6 2025 1555298 0 1 347816 1 30 1555298 1 5 2025 1668255 0 1 373077 1 31 1668255 2 4 2025 2071337 0 1 463219 1 30 2071337 1 3 2025 2142516 0 1 479137 1 31 2142516 1 2 2025 1661092 0 1 371475 1 28 1661092 1 1 2025 2140889 0 1 478773 1 31 2140889 1 12 2024 2141476 0 1 478904 1 31 2141476 2 11 2024 2071765 0 1 463315 1 30 2071765 1 10 2024 2068174 0 1 462512 1 31 2068174 2 9 2024 1664463 0 1 372229 1 30 1664463 2 8 2024 2141961 0 1 479013 1 31 2141961 13 7 2024 2142069 0 1 479037 1 31 2142069 8 6 2024 1835393 0 1 410454 1 30 1835393 4 5 2024 1606900 0 1 359356 1 31 1606900 1 4 2024 1554997 0 1 347748 1 30 1554997 2 3 2024 1606765 0 1 359325 1 31 1606765 2 2 2024 1607503 0 138 359494 1 29 1607397 259 1 2024 3222822 0 1323 720819 1 31 3220776 4196 12 2023 3222947 0 1220 720831 1 31 3219518 3621 11 2023 3120696 1 1223 697988 1 30 3117305 3309 10 2023 3222677 0 1278 720772 1 31 3220114 3147 9 2023 3119359 0 1298 697695 1 30 3115862 2833 8 2023 3222021 2 1421 720709 1 31 3219041 2816 7 2023 3223921 0 1413 721067 1 31 3219122 3144 6 2023 3119696 0 1423 697766 1 30 3115925 3262 5 2023 3224717 0 1506 721258 1 31 3219915 3598 4 2023 3121766 0 1385 698259 1 30 3117622 3868 3 2023 3221630 0 1187 720535 1 31 3218765 3344 2 2023 2910464 0 1207 650964 1 28 2908125 3166 1 2023 3222750 0 1194 720799 1 31 3220095 3544 12 2022 3223685 0 1156 721036 1 31 3219462 3423 11 2022 3118509 0 1187 698531 1 30 3115637 3045 10 2022 3222474 0 1197 720756 1 31 3219212 2921 9 2022 3119608 0 1098 697778 1 30 3114984 3006 8 2022 3222734 0 1112 720820 1 31 3219854 2790 7 2022 3223901 0 1144 721086 1 31 3219429 2700 6 2022 3116751 0 1134 697076 1 30 3114867 2528 5 2022 3221759 0 1108 720588 1 31 3219311 2456 4 2022 658294 0 267 147241 1 30 658039 501 3 2022 121 0 43 29 1 31 91 71 2 2022 167 0 45 40 1 28 114 87 1 2022 210 0 55 48 1 31 161 113 12 2021 207 0 46 46 1 31 179 114 11 2021 213 0 59 47 1 30 175 112 10 2021 199 0 62 45 1 31 174 121 9 2021 108 0 30 26 1 30 81 80 8 2021 85 0 14 21 1 31 65 65 7 2021 88 0 22 21 8 31 63 61 6 2021 20 0 13 5 3 25 14 11 5 2021 0 0 0 0 0 0 0 0 4 2021 0 0 0 0 0 0 0 0 3 2021 0 0 0 0 0 0 0 0 2 2021 0 0 0 0 0 0 0 0 1 2021 0 0 0 0 0 0 0 0 12 2020 0 0 0 0 0 0 0 0 11 2020 0 0 0 0 0 0 0 0 10 2020 0 0 0 0 0 0 0 0 9 2020 0 0 0 0 0 0 0 0 8 2020 0 0 0 0 0 0 0 0 7 2020 0 0 0 0 0 0 0 0 6 2020 0 0 0 0 0 0 0 0 5 2020 0 0 0 0 0 0 0 0 4 2020 0 0 0 0 0 0 0 0 3 2020 0 0 0 0 0 0 0 0 2 2020 0 0 0 0 0 0 0 0 1 2020 0 0 0 0 0 0 0 0 12 2019 0 0 0 0 0 0 0 0 11 2019 0 0 0 0 0 0 0 0 10 2019 0 0 0 0 0 0 0 0 9 2019 0 0 0 0 0 0 0 0 8 2019 0 0 0 0 0 0 0 0 7 2019 0 0 0 0 0 0 0 0 6 2019 0 0 0 0 0 0 0 0 5 2019 0 0 0 0 0 0 0 0 4 2019 0 0 0 0 0 0 0 0 3 2019 0 0 0 0 0 0 0 0 2 2019 0 0 0 0 0 0 0 0 1 2019 0 0 0 0 0 0 0 0 12 2018 0 0 0 0 0 0 0 0 11 2018 0 0 0 0 0 0 0 0 10 2018 0 0 0 0 0 0 0 0 9 2018 0 0 0 0 0 0 0 0 8 2018 0 0 0 0 0 0 0 0 7 2018 0 0 0 0 0 0 0 0 6 2018 0 0 0 0 0 0 0 0 5 2018 0 0 0 0 0 0 0 0 4 2018 0 0 0 0 0 0 0 0 3 2018 0 0 0 0 0 0 0 0 2 2018 0 0 0 0 0 0 0 0 1 2018 0 0 0 0 0 0 0 0 12 2017 0 0 0 0 0 0 0 0 11 2017 0 0 0 0 0 0 0 0 10 2017 0 0 0 0 0 0 0 0 9 2017 0 0 0 0 0 0 0 0 8 2017 0 0 0 0 0 0 0 0 7 2017 0 0 0 0 0 0 0 0 6 2017 0 0 0 0 0 0 0 0 5 2017 0 0 0 0 0 0 0 0 4 2017 0 0 0 0 0 0 0 0 3 2017 0 0 0 0 0 0 0 0 2 2017 0 0 0 0 0 0 0 0 1 2017 0 0 0 0 0 0 0 0 12 2016 0 0 0 0 0 0 0 0 11 2016 0 0 0 0 0 0 0 0 10 2016 0 0 0 0 0 0 0 0 9 2016 0 0 0 0 0 0 0 0 8 2016 0 0 0 0 0 0 0 0 7 2016 0 0 0 0 0 0 0 0 6 2016 0 0 0 0 0 0 0 0

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The information filled in form is true and valid. PT Howden Insurance Brokers Indonesia is not liable to any lawful obligations arising from any false or invalid information in this application form whatsoever, all the false or invalid information will not be processed.
The client hereby agree to render PT Howden Insurance Brokers Indonesia a right to handle complaint including but not limited to grab data from records, emails, documents, confidential data, and others, liaise with relatable Parties e.g. (Insurer, Adjuster, Legal Advisor, etc) to settled complaint.
The client hereby released PT Howden Insurance Brokers Indonesia from any material or immaterial damages if eventually, there is no evidence of damages caused by PT Howden Insurance Brokers Indonesia.

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CUSTOMER COMPLAINT FORM

Please use this form to give us suggestions, compliments or complaints.Click here to check complaint status.Click here to show Term of Business Agreement

Please use this form to give us suggestions, compliments or complaints.
Click here to check complaint status.
Click here to show Term of Business Agreement