Customer Complaint Registration

Customer Information

Name *
Address *
Designation
Email *
Land line
Mobile *

Service Request

Product Model
Product Serial no
Date of Purchase
Current Usage Counter Reading
Remarks

Consumables Request

Product Model
Product Serial no
Date of Purchase
Are you covered by any service contract: Current Usage Counter Reading
( applicable only on Contract Machines)
Remarks

Complaint Registration Form

Product Model
Product Serial no.
Date of Purchase
Are you covered by any service contract:
Nature of Complaint
Remarks/ Details
Security Code: *
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Contact Address

Divya Business Systems Pvt Ltd
Kamala Nilayam, T.C. No. 3/2734
Pattom Junction, Pattom-Kowdiar Road,
Thiruvananthapuram-695004
Tel : 91 471 2545440, 91 471 6585662
Mob : 91 98957 05030

Helpline

Supplies : +91 9895705039
Service : +91 98957 05000
Sales : +91 98957 05014