CRM1.1- Book Installation

Call TypeInstallationComplaint

Date

YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925

MonthSelect month123456789101112

DaySelect day12345678910111213141516171819202122232425262728293031

Type of Complain

ComplaintMotorRotorBodyPCBGlassOil CollectorLampTransformerFilterWDuctInstallationKnobReducerComplete ProductPre Site VisitNormal ServiceMajor ServicePMSProduct Replace

Select Product

ChimneyCooktopHOBWater PurifierGeyser

Select Brand

KutchinaFaberElicaWhirlpoolGlenCleverOther

Other Brand

Select Model

CH SCARLET 60 I 14000 5/12CH SCARLET 90 I 14000 5/12CH Vento 60 I 14000 5/12CH Vento 75 I 14000 5/12CH Vento 90 I 13000 5/12CH Dezire 60 I 12000 5/16CH Dezire 75 I 15000 5/16CH Dezire 90 I 15000 5/16Vega DLX 75 I 15000 5/16Vega DLX 90 I 15000 5/16Vega DLX 60CH Blackstar DLX 60 I 14000 5/9CH Blackstar DLX 75 I 14000 5/9CH Blackstar DLX 90 I 14000 5/9CH Topaz DLX 60 BLDC I 15000 5/16CH Topaz DLX 75 BLDC I 15000 5/16CH Topaz DLX 90 BLDC I 15000 5/16CH Vitara DLX 60 BLDC I 15000 5/16CH Vitara DLX 90 BLDC I 15000 5/16

Other Model

Customer Details

Name of the Customer

Phone Number

Phone Number 2

Street Address

Ward No./ Village Name

City / Town / Village

Pin Code *0 / 6

Select DistrictPuruliaBankura

Select Purulia Block

PuruliaRaghunathpurAnaraAdraCheliyamaNituriaKashipurHuraPunchaManbazarBarabazarBandwanBalarampurJhaldaGarh JoypurSanthaldihParaArshaBaghmundiSanturi

Select Bankura Block

BankuraBorjoraChhatnaGangajal GhatiOndaSaltoraKhatraRanibandhRaipurSarengaIndpurSimplapalTaldanga

Upload Invoice

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Upload Warrantee Card

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Upload Srl No

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Product Srl.No.

Name of the Retailer

Details

Submitted byRetailerCustomer

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