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FAULT NOTIFICATION FORM
Fault Notification Dateı:
Name - Surname:
Contact Information
Company Name:
Related Nameı:
Telephone Number:
Fax Number:
Address:
City:
Phone:
E-Mail:
Address/City:
Tax Department
:
Tax ID:
Device And Related Sciences
Modelsi:
Serial Numbers:
Battery Type and number of devices connected
The date of the device to Buy
:
Address:
Type of devices received:
Bayi
İnternet
Diğer
Purchased the device Company Name
:
E-Mail:
The address of the device as the Board
(
The same with your address you leave blank
)
Information Related to failure
The issue of the Eye of the device
(
Please give full details
)
Written on the front panel of the device Alarms
Loads connected to the device and Customs
(Please give full details)
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