EAPL : Customer Complaint

EAPL

CUSTOMER COMPLAINT FORM

Note : Kindly furnish maximum information so that we can efficiently handle this Complaint.

Date:

Company Name:

*

Contact Person :

*

Address :

City :

State :

Pin :

Email :

*

Mobile :

*

Fax :

Product :

Quantity :

Source Voltage :

Application Used :

Load details :

Batch No. :

*(Refer side of Panel)

Sl.No. :

*(Refer side of Panel)

Purchased from:

(Give dealers name)

Purchase Date:

Nature of Complaint: