WARRANTY SERVICE REQUEST FORM

 

CUSTOMER INFORMATION

Subject

Company / Customer Name: *

Address *

Contact Number *

Email *

Contact Person/ Depot/Hardware: *

 

PRODUCT INFORMATION

 

Brand / Model *

Description

Date of Purchase *

 
 

 

Fault Occured Description

Please describe the experienced failure with the product (any explanation is helpful; please include photos or illustration even on an extra page if you consider relevant).

Photos or Illustration

Proof of Purchase

 

I agree to the terms stated in the Guidelines for Filing of Warranty Claims.

 

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