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Short Description of Problem*

for Example : System Not Booting/ No Display etc

Your Name *

( First Name & Surname Only )

Your Contact Number*

Cell Phone or Land line number

Email Address *

Please Mention your valid Email Address

Organisation Name/ Location

for Example: Xyz Company/ Deccan Gymkhana

Priority*

Full Description of Issue, System make, Model & Serial Number
( Pl give as much info as possible. )

* mark indicates compulsory fields.