Customer Complaint Form

Organization Name

Organization Representative

Mobile Number

Organization Phone

Product Name under Complaint

Quantity under Complaint

Product Lot Number / UID

Please specify the type of issue (select one or more)

Defect or Technical Malfunction Improper or Damaged Packaging Delay in Product Delivery Other Issues ...

Please describe your complaint in detail

Please upload a photo of the product issue. (Maximum file size: 500 kB)

If necessary, you may also upload a video or any related file. (Maximum file size: 2 MB)