File a Competition Complaint Form 01 – Complaint Form-1-Complaint.pdf Form 02 – Request for Confidentiality Form-2-Request-for-Confidentiality.pdf FORM INSTRUCTIONSPlease fill out all parts of this Form to the best of your knowledge and attach any relevant documents in support of your claim(s) (e.g., correspondence, contracts, receipts, etc.). The information provided in this Form is confidential to the fullest extent possible to conduct the investigation. The Complainant has the right to identify confidential information by duly completing Form 2 - Request for Confidentiality and submitting it jointly with this Complaint. The COMESA Competition Commission does not charge a fee for the filing of a ComplaintPage 1 of 7I. DETAILS OF COMPLAINANT (natural or legal person submitting this Complaint):Full Names of Complainant*Address of the contact personPhone*FaxEmail address*Brief description (industry sector, products/services, etc.)NextII. RESPONDENT PARTY (natural or legal person against whom this Complaint is made)Full NamesAddress/LocationPhoneFaxEmail addressOther Contact Details of the RespondentWebsiteBackNextIII. ARE OTHER RESPONDENT PARTIES INVOLVED IN THE ALLEGED CONDUCT?Party NameAddress/LocationPhoneFaxEmail addressOther Contact Details of the PartyWebsiteParty NameAddress/LocationPhoneFaxEmail addressOther Contact Details of the PartyWebsiteBackNextIV. COMPLAINT DETAILSPlease provide a comprehensive statement of the conduct that is the subject of this Complaint*Set out in detail the facts from which, in your opinion, it appears that there exists an infringement of the Regulations. Indicate in particular the nature of the products (goods or services) affected by the alleged infringements and explain, where necessary, the commercial relationships concerning these products.Provide all available details on the agreements or practices of the undertakings or associations of undertakings to which this complaint relates*Indicate, to the extent possible, the relative market positions of the undertakings concerned by the complaintGeographical Scope*Set out your view about the geographical scope of the alleged infringement and explain, where that is not obvious, to what extent trade between Member States or within the Common Market may be affected by the conduct complained ofBackNextV. SUPPORTING DOCUMENTS:Submit all documentation in your possession relating to or directly connected with the facts set out in the complaint (for example, texts of agreements, minutes of negotiations or meetings, terms of transactions, business documents, circulars, correspondence, notes of telephone conversations...).Submit statistics or other data in your possession which relate to the facts set outIn particular where they show developments in the marketplace (for example information relating to prices and price trends, barriers to entry to the market for new suppliers etc.)State the names and address of the persons able to testify to the facts set out in the complaint, and in particular of persons affected by the alleged infringement.NameAddressPlease enable JavaScript to submit this form.BackNextVI. PROCEEDINGS BEFORE NATIONAL COMPETITION AUTHORITIES/NATIONAL COURTSProvide full information about whether you have approached, concerning the same or closely related subject-matters, any other competition authority and/or whether a lawsuit has been brought before a national court. If so, provide full details about the administrative or judicial authority contacted and your submissions to such authorityBackNextVII. DECLARATIONDeclaration*I declare that the information given/supplied by me to the COMESA Competition Commission in this Complaint and all supporting documents attached hereto is accurate to the best of my knowledgePlease enable JavaScript to submit this form.BackSendThis field should be left blank
