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Warranty Claim Form

Customers Details

Name

Phone

Repair Agent Details

Business Name

Repairer Name

Phone

Repair Details

Job No

Date of Claim

Proof of Purchase

Allow only doc, docx, xls, xlsx, pdf files. Allowed Max Size 5 MB.

(Invoice No)

Machine Type

Model Number

Serial Number

Faulty Description / Probable Cause of Damage