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Nature of Feedback
Nature of Feedback
Complaint
Compliment
Enquiry
Suggestion/Others
BUS
RAIL
Personal Particulars
(All fields with * are mandatory)
Salutation *
Mr
Ms
Mrs
Mdm
Dr
Name *
E-mail Address *
Contact Number
EZ-Link/
Nets FlashPay card
16-digit EZ-Link/Nets FlashPay card number found on the back of card. Providing this information will facilitate prompt investigation into the incident.
Details of Bus Incident
(All fields with * are mandatory)
Subject *
Customer Service (Bus Captain)
Customer Service (Other Staff)
Bus Captain's Driving
Bus Condition
Facilities (Interchange/Terminal)
Frequency
Capacity
Safety
Others
Date of Incident *
(format dd/mm/yyyy)
Time of Incident *
00
01
02
03
04
05
06
07
08
09
10
11
12
:
00
05
10
15
20
25
30
35
40
45
50
55
AM
PM
Location of Incident *
Please select
At Boarding Bus Stop
During Journey
At Alighting Bus Stop
Bus Service Number *
004
005
005A
005B
007
007A
007B
008
009
009A
009B
010
010E
011
013
013A
014
014A
014E
016
016M
018
019
020
020A
021
021A
022
023
024
025
026
027
027A
028
029
029A
030
030E
031
031A
032
033
033A
033B
035
035M
037
038
039
039A
039B
040
042
045
045A
046
047
048
050
050A
051
051A
052
053
053A
053M
054
055
055B
056
057
058
058A
058B
059
060
060A
060T
063
063A
063M
064
065
069
070
070A
070B
070M
071
071A
072
072A
072B
073
073T
074
076
080
080A
081
086
086A
086B
087
088
088A
088B
089
089A
089E
090
090A
091
092
092A
092B
093
094
094A
095
095B
099
100
100A
101
102
102A
102B
103
105
105B
107
107M
109
109A
111
112
112A
112B
113
113A
114
114A
115
116
116A
117
117A
117M
120
121
122
123
123M
124
125
125A
127
127A
129
129A
129B
130
131
131A
132
133
134
135
137
137A
138
138A
138C
138M
139
139A
140
141
142
142A
145
145A
146
147
147A
150
151
153
154
154A
154B
155
156
157
158
158A
159
159A
159B
160
160A
161
162
163
163A
163B
165
166
168
168A
170
170X
174
174E
175
186
191
195
195A
196
196A
196E
197
198
198A
200
200A
201
222
222A
222B
225
228
229
230
231
232
235
238
261
262
265
268
268A
268B
268C
269
269A
272
273
291
291T
292
293
293T
296
298
298X
315
317
324
325
329
371
372
374
400
401
410
506
513
652
654
655
660
660M
667
668
671
672
675
676
677
800
803
804
805
806
807
807A
807B
811
811A
811T
812
812T
850E
851
851E
852
860
860T
993
LCS1
LCS2
Direction *
--Select--
Bus Registration No.
Boarding Time *
*
00
01
02
03
04
05
06
07
08
09
10
11
12
:
00
05
10
15
20
25
30
35
40
45
50
55
AM
PM
Boarding Street or Bus Stop No.*
*
--Select--
Alighting Bus Stop No.*
*
--Select--
Feedback
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