Application for Listener's Predicament Management
Applicant	Name			Cell phone #
	Resident Registration #			Contact #
	Address
E-mail		Date & Time of broadcast	(YY/MM/DD/hh) / / /
Program Name
Matter of Damage	Please explain in detail according to the 5 W's and 1 H (who, what, when, where, why, how).
Manage requirement
I ask for an appropriate measures to be taken as the written predicament management has been applied above. (YY/MM/DD) / / Applicant signature : (인) To BEFM Listener's Predicament Management
Documentary Evidence : Please attach any documents which prove the matter of damage