STEP 2

SERVICE REDRESSAL
PRODUCT CATEGORY

WATER PURIFIER

VACUUM CLEANER

SECURITY SOLUTION

AIR PURIFIER

OTHERS

PRODUCT NAME
TITLE

Mr.

Mrs.

Ms.

M/s.

Dr.

FIRST NAME

MIDDLE NAME

LAST NAME

CUSTOMERS NAME*
HOUSE / FLAT NO.
STREET NO. 1
STREET NO. 2
AREA
STATE

CITY
TEL. (Res.)**

TEL. (Off.)**

MOBILE (Res.)**
GENDER

PIN

MOBILE (Off.)**
M

CUSTOMER SAP CODE

EMAIL*
SERVICE REQUEST NO.:........................................
DETAILED DESCRIPTION OF SERVICE REQUEST
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
CUSTOMERS SIGNATURE

DATE

You can also post the service request form

to the address given below
Ms. Anu Kotian
Customer Care Officer
Eureka Forbes Ltd.,
B1/B2, 701, 7th Floor, Marathon NexGen,
Marathon Innova, Off Ganpatrao Kadam Marg,
Lower Parel, Mumbai-400 013, India.
Tel.: +91-22-30449700

You will receive a response within 24-48 hours of us receiving your service request.
*MANDATORY I ** BOTH PREFERRED, BUT AT LEAST ONE IS MANDATORY.