Date of complaint:                                        2017-07-21

Organisation name:                                      

Name Of The Contact Person:                     

Phone No:                                                    

Designation:                                                 

Email ID:                                                       

Select type of service request or complaint:   Customer Service Features Performance Price Durability Quality Safety Reliability Usability Other

Product name                                                   

Model No.                                                         

Serial No.                                                     

Date of commissioning:                                 (eg. 01/01/2014)

Is the product under warranty?                     YES NO NOT CERTAIN

Location of the unit:                                     

Please enter the details of your service request or complaint:

Actions taken at consumer end (if any):

  

TYPE THE TEXT YOU SEE IN THE IMAGE

This is just to check if you are a robot