Complaint Registration Form
Customer Details
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Customer
Dealer
Distributor
Customer Mobile Number
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Complete Name & Address
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District/State
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Agra
Aligarh
Allahabad
Ambedkar Nagar
Amethi
Amroha
Auraiya
Azamgarh
Baghpat
Bahraich
Ballia
Balrampur
Banda
Barabanki
Bareilly
Basti
Bhadohi
Bijnor
Budaun
Bulandshahr
Chandauli
Chitrakoot
Deoria
Etah
Etawah
Faizabad
Farrukhabad
Fatehpur
Firozabad
Gautam Buddha Nagar
Ghaziabad
Ghazipur
Gonda
Gorakhpur
Hamirpur
Hapur
Hardoi
Hathras
Jalaun
Jaunpur
Jhansi
Kannauj
Kanpur Dehat
Kanpur Nagar
Kanshiram Nagar (Kasganj)
Kaushambi
Kushinagar (Padrauna)
Lakhimpur - Kheri
Lalitpur
Lucknow
Maharajganj
Mahoba
Mainpuri
Mathura
Mau
Meerut
Mirzapur
Moradabad
Muzaffarnagar
Pilibhit
Pratapgarh
Raebareli
Rampur
Saharanpur
Sambhal
Sant Kabir Nagar
Shahjahanpur
Shamali
Shravasti
Siddharth Nagar
Sitapur
Sonbhadra
Sultanpur
Unnao
Varanasi
Kashipur
Delhi
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Customer Remark
*
Complaint Battery Details-1
Battery Model
*
Please Select
4LB
5LB
7LB
9LB
35B20LMF
38B20LMF
65D26RMF
65D26LMF
80D26RMF
95D31LMF
110D31LMF
RAM-1300
RAM-1500
MICROVOLT-1650
MICROVOLT-1800
RER-1650
RER-1800
ER-1625
ER-1650
ER-1800
NEX-1550
NEX-1625
NEX-1650
NEX-1800
MIT-18000
MIT-20000
MIT-21000
MIT-22000
MIT-23000
MIT-24000
MICROVOLT-ENREGY+1800
RIT-2000
RGTT-20000
RGTT-21000
RGTT-24000
RT-1800
ET-1700
EIT-2000
EIT-2100
EIT-2400
EIT-40000
EIT-42000
EIT-48000
CHETAK-1600
TEJAS-1600
RER-1820
RER-2040
ER-1820
ER-2040
MICROVOLT-1820
MICROVOLT-2040
TZ-5
BAHUBALI
RER-1700
TEJAS-1600(200DAYS)
CHETAK-1600(200DAYS)
RADIX-E-HUMSAFAR(200DAYS)
RADIX-ACTIVE
RGTT-20000(AH)
RGTT-21000(180AH)
RGTT-22000(200AH)
RGTT-22000(220AH)
RGTT-24000(220AH)
RGTT-24000(240AH)
RGTT-25000(AH)
RIT-2000(AH)
RT-1800(AH)
MIT-18000(AH)
MIT-20000(AH)
MIT-21000(AH)
MIT-22000(200AH)
MIT-23000(AH)
MIT-24000(220AH)
MIT-24000(240AH)
MIT-25000(250AH)
EIT-1800
RER-1625(HS)
RER-1700(AH)
RER-1800(AH)
RER-2040(AH)
MICROVOLT-1800(140AH)
MICROVOLT-1820(AH)
MICROVOLT-2040(AH)
MVR-1625(HS)
ER-1700
ER-1800(AH)
ER-1820(AH)
ER-2040(AH)
BB-NEX-1650
NEX-1600(HS)
NEX-1650(AH)
MIT-22000(220AH)
NEX-1735
RER-1820(135AH)
Xtreme-RIT-2000
Xtreme-RGTT-20000
Xtreme-RGTT-22000
Xtreme-MIT-18000
Battery Serial Number
*
Date Of Purchase
*
-
Day
-
Month
Year
Complaint Battery Details-2
Battery Model
Please Select
4LB
5LB
7LB
9LB
35B20LMF
38B20LMF
65D26RMF
65D26LMF
80D26RMF
95D31LMF
110D31LMF
RAM-1300
RAM-1500
MICROVOLT-1650
MICROVOLT-1800
RER-1650
RER-1800
ER-1625
ER-1650
ER-1800
NEX-1550
NEX-1625
NEX-1650
NEX-1800
MIT-18000
MIT-20000
MIT-21000
MIT-22000
MIT-23000
MIT-24000
MICROVOLT-ENREGY+1800
RIT-2000
RGTT-20000
RGTT-21000
RGTT-24000
RT-1800
ET-1700
EIT-2000
EIT-2100
EIT-2400
EIT-40000
EIT-42000
EIT-48000
CHETAK-1600
TEJAS-1600
RER-1820
RER-2040
ER-1820
ER-2040
MICROVOLT-1820
MICROVOLT-2040
TZ-5
BAHUBALI
RER-1700
TEJAS-1600(200DAYS)
CHETAK-1600(200DAYS)
RADIX-E-HUMSAFAR(200DAYS)
RADIX-ACTIVE
RGTT-20000(AH)
RGTT-21000(180AH)
RGTT-22000(200AH)
RGTT-22000(220AH)
RGTT-24000(220AH)
RGTT-24000(240AH)
RGTT-25000(AH)
RIT-2000(AH)
RT-1800(AH)
MIT-18000(AH)
MIT-20000(AH)
MIT-21000(AH)
MIT-22000(200AH)
MIT-23000(AH)
MIT-24000(220AH)
MIT-24000(240AH)
MIT-25000(250AH)
EIT-1800
RER-1625(HS)
RER-1700(AH)
RER-1800(AH)
RER-2040(AH)
MICROVOLT-1800(140AH)
MICROVOLT-1820(AH)
MICROVOLT-2040(AH)
MVR-1625(HS)
ER-1700
ER-1800(AH)
ER-1820(AH)
ER-2040(AH)
BB-NEX-1650
NEX-1600(HS)
NEX-1650(AH)
MIT-22000(220AH)
NEX-1735
RER-1820(135AH)
Xtreme-RIT-2000
Xtreme-RGTT-20000
Xtreme-RGTT-22000
Xtreme-MIT-18000
Battery Serial Number
Date Of Purchase
-
Day
-
Month
Year
Complaint Battery Details-3
Battery Model
Please Select
4LB
5LB
7LB
9LB
35B20LMF
38B20LMF
65D26RMF
65D26LMF
80D26RMF
95D31LMF
110D31LMF
RAM-1300
RAM-1500
MICROVOLT-1650
MICROVOLT-1800
RER-1650
RER-1800
ER-1625
ER-1650
ER-1800
NEX-1550
NEX-1625
NEX-1650
NEX-1800
MIT-18000
MIT-20000
MIT-21000
MIT-22000
MIT-23000
MIT-24000
MICROVOLT-ENREGY+1800
RIT-2000
RGTT-20000
RGTT-21000
RGTT-24000
RT-1800
ET-1700
EIT-2000
EIT-2100
EIT-2400
EIT-40000
EIT-42000
EIT-48000
CHETAK-1600
TEJAS-1600
RER-1820
RER-2040
ER-1820
ER-2040
MICROVOLT-1820
MICROVOLT-2040
TZ-5
BAHUBALI
RER-1700
TEJAS-1600(200DAYS)
CHETAK-1600(200DAYS)
RADIX-E-HUMSAFAR(200DAYS)
RADIX-ACTIVE
RGTT-20000(AH)
RGTT-21000(180AH)
RGTT-22000(200AH)
RGTT-22000(220AH)
RGTT-24000(220AH)
RGTT-24000(240AH)
RGTT-25000(AH)
RIT-2000(AH)
RT-1800(AH)
MIT-18000(AH)
MIT-20000(AH)
MIT-21000(AH)
MIT-22000(200AH)
MIT-23000(AH)
MIT-24000(220AH)
MIT-24000(240AH)
MIT-25000(250AH)
EIT-1800
RER-1625(HS)
RER-1700(AH)
RER-1800(AH)
RER-2040(AH)
MICROVOLT-1800(140AH)
MICROVOLT-1820(AH)
MICROVOLT-2040(AH)
MVR-1625(HS)
ER-1700
ER-1800(AH)
ER-1820(AH)
ER-2040(AH)
BB-NEX-1650
NEX-1600(HS)
NEX-1650(AH)
MIT-22000(220AH)
NEX-1735
RER-1820(135AH)
Xtreme-RIT-2000
Xtreme-RGTT-20000
Xtreme-RGTT-22000
Xtreme-MIT-18000
Battery Serial Number
Date Of Purchase
-
Day
-
Month
Year
Complaint Battery Details-4
Battery Model
Please Select
4LB
5LB
7LB
9LB
35B20LMF
38B20LMF
65D26RMF
65D26LMF
80D26RMF
95D31LMF
110D31LMF
RAM-1300
RAM-1500
MICROVOLT-1650
MICROVOLT-1800
RER-1650
RER-1800
ER-1625
ER-1650
ER-1800
NEX-1550
NEX-1625
NEX-1650
NEX-1800
MIT-18000
MIT-20000
MIT-21000
MIT-22000
MIT-23000
MIT-24000
MICROVOLT-ENREGY+1800
RIT-2000
RGTT-20000
RGTT-21000
RGTT-24000
RT-1800
ET-1700
EIT-2000
EIT-2100
EIT-2400
EIT-40000
EIT-42000
EIT-48000
CHETAK-1600
TEJAS-1600
RER-1820
RER-2040
ER-1820
ER-2040
MICROVOLT-1820
MICROVOLT-2040
TZ-5
BAHUBALI
RER-1700
TEJAS-1600(200DAYS)
CHETAK-1600(200DAYS)
RADIX-E-HUMSAFAR(200DAYS)
RADIX-ACTIVE
RGTT-20000(AH)
RGTT-21000(180AH)
RGTT-22000(200AH)
RGTT-22000(220AH)
RGTT-24000(220AH)
RGTT-24000(240AH)
RGTT-25000(AH)
RIT-2000(AH)
RT-1800(AH)
MIT-18000(AH)
MIT-20000(AH)
MIT-21000(AH)
MIT-22000(200AH)
MIT-23000(AH)
MIT-24000(220AH)
MIT-24000(240AH)
MIT-25000(250AH)
EIT-1800
RER-1625(HS)
RER-1700(AH)
RER-1800(AH)
RER-2040(AH)
MICROVOLT-1800(140AH)
MICROVOLT-1820(AH)
MICROVOLT-2040(AH)
MVR-1625(HS)
ER-1700
ER-1800(AH)
ER-1820(AH)
ER-2040(AH)
BB-NEX-1650
NEX-1600(HS)
NEX-1650(AH)
MIT-22000(220AH)
NEX-1735
RER-1820(135AH)
Xtreme-RIT-2000
Xtreme-RGTT-20000
Xtreme-RGTT-22000
Xtreme-MIT-18000
Battery Serial Number
Date Of Purchase
-
Day
-
Month
Year
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