Subject
Company / Customer Name: *
Address *
Contact Number *
Email *
Contact Person/ Depot/Hardware: *
Brand / Model *
Description
Date of Purchase *
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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