Return Form

Are Product Delivery Address and Yes Name

Return address same No

If "No" , please fill highlighted fields Invoice Number

Street Address

Order Number

Postal Code
City Mobile Number/Telephone Number
Order Type HD PUC
Customer Type ADR/ADS PC
Product Used (Y/N)
ADR/ADS/PC NO.
If opened, product consumption should be less than 30%

Return Reason Codes
A Product Delivered Late
B Dissatisfied with Quality
C Defective Following Use
D Ordered by Mistake
E Product Expired
F (Others) Please Specify
Yes No
G Product Received Damage
H Wrong Product Received
I Dissatisfied with Product
J Size Not expected
K Colour Not Expected Seriol No. (in case of
Durables only

Return Reason
SNo Product Code Product Name Quantity
Code

Disclaimer

All the fields are mandatory in nature. Incomplete form may result in cancellation of return request
In case of different delivery and return address, GST will be deducted for different states