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Title:
Title:
Name:
Name:
Residence Address:
Residence Address:
Dist:
Dist:
State:
Occupation:
State:
Occupation:
Tel:(_____)
Res(:_____)
Fax:
Tel:(_____)
Res(:_____)
Fax:
Mobile No:
Email:
Mobile No:
Email:
Please Tick The Appropriate Product
Colour TV
B&W TV
DVD
Washing M/C.
AC
Plasma TV
Rear Projection TV
Please Tick The Appropriate Product
Colour TV
B&W TV
DVD
Washing M/C.
AC
Plasma TV
Rear Projection TV
Model No:
Model No:
Serial No
Serial No
Purchase Date
Purchase Date
Bill No.
Bill No.
I Accept The Terms And Conditions of The Warranty
Customer Signature
I Accept The Terms And Conditions of The Warranty
Customer Signature
Thank you for selecting a World Class product and we assure you that it will perform as per your expectations
Thank you for selecting a World Class product and we assure you that it will perform as per your expectations
We thank you for taking your time to complete this form. All Information Provided by You will be Kept Confidential.
We thank you for taking your time to complete this form. All Information Provided by You will be Kept Confidential.
(Please Fill In, Tear off, Fold and Mail this form to Reach us within 10 days of the Product Purchase.)
(Please Fill In, Tear off, Fold and Mail this form to Reach us within 10 days of the Product Purchase.)
We welcome your Valuable Suggestions, if any, to Improve our Products and Services :
We welcome your Valuable Suggestions, if any, to Improve our Products and Services :
FOR OFFICE USE ONLY
FOR OFFICE USE ONLY
Customer Code:
Customer Code:
Customer Details
Customer Details
Product Details
Product Details
Serial No.
Serial No.
Branch:
Branch:
Note: Company Will Not Be Responsible For The Loss Of This Form During Transit.
Note: Company Will Not Be Responsible For The Loss Of This Form During Transit.
Code
Code
Code
Code
Mr
Ms
Mrs
M/s
Mr
Ms
Mrs
M/s
Please Refer Sticker On Back Cover Of Your Product
Please Refer Sticker On Back Cover Of Your Product
Day
Month
Year
Day
Month
Year
Microwave Oven
LCD TV
Microwave Oven
LCD TV
MIRC Electronics Limited
MIRC Electronics Limited
Service Centre Copy
Service Centre Copy
Warranty Card
Warranty Card
For Other Details on Our Products & Services Log On To www.onida.com
For Other Details on Our Products & Services Log On To www.onida.com
Dealer’s Name & Address
Dealer’s Name & Address
Pin:
Pin:
Signature
Signature
Mirc Electronics Ltd.
Mirc Electronics Ltd.