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Complaint Registration Form

* Please note serial numbers should be of one particular model
Serial Number *

Purchase Date *
Serial Number *

Purchase Date *
Serial Number *

Purchase Date *
Serial Number *

Purchase Date *
Model Name *
Customer Name *
Country *
Customer No *
Alternate No *
Address *
State *
District *
Tehsil *
Pincode *
Problem In System *
Share location if you are at the same place where complaint is to be logged