Service Support

NOTE: Kindly fill up the following form for your service support requirement of your instrument. * Required information
   
Customer Details
 
Your Name: *
Designation/Dept:
Company/Organisation: *
City: *
Email Address: *
Telephone/Mobile: *
Fax:
 
Instrument Details
 
Product Make: *
Product Name/Model: *
Product Serial No: *
Under Warranty: *   Yes    No 
Attach Image of the Product: *
To Attach: Click 'Choose File' and find your product image in jpg or jpeg format on your computer.
Fault Description: *
Remarks/Comments:
Captcha *: 8 + 10 = ?