Customer Service Request:

 		 

    Personal Details
       
   Name *
Mobile No. *
   Email ID

PTCL #
    Address
       
   House #
  Building:
   Block/Sec:
  Street/Road:
   Province *
  City *
  Main Area *
Near To:
     Service Request Details
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Refrigerator Freezer Microwave Oven
 Split
 Automatic Washing Machine
 Washing Machine
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   Product Category:
  Model No.
   Date of Purchase: *
  Loadshedding Time:
   Fault *
Preferred Visit Time:
   Description *