(1) Whether the complainant party is a consumer or a trader;

(2) The name and e-mail and geographical address of the consumer;

(3) The name and e-mail, website and geographical address of the trader;

(4) The name and email and geographical address of the complainant party's representative, if applicable;

(5) The language(s) of the complainant party or representative, if applicable;

(6) The language of the respondent party, if known;

(7) The type of good or service to which the complaint relates;

(8) Whether the good or service was offered by the trader and ordered by the consumer on a website or by other electronic means;

(9) The price of the good or service purchased;

(10) The date on which the consumer purchased the good or service;

(11) Whether the consumer has made direct contact with the trader;