Service Request

Service Request Application

Kindly fill in the details information for a service request. All information are required to be filled.

Subject*

Model Selection* (eg. AURA)

Total unit for service* (min. 1)

Model Selection (If Applicable)

Total unit for service (If Applicable)

Full Name* (eg. Ali Bin Cahya)

NRIC No./Passport No.* (eg. 750930149911)

Contact No.* (eg. 60123456789)

Nationality* (eg. Malaysia)

Email* (eg. nickname@domain.com)

Full Address* (eg. 99, Jalan Bandar Mutiara)

Warranty Card (supported filetype: jpg, jpeg, png, pdf)

Additional Warranty Card (If Applicable, supported filetype: jpg, jpeg, png, pdf)

Faulty Description*

Explain your issues here if you have selected the OTHERS option

Video Or Image For The Fan Faulty (Video:10-20sec, supported filetype: jpg, jpeg, png, mov, mp4, mpg, wav, avi, wmv)