Adly Computer R&S Repair Form

1

Unique ID

2

Full Name* This field is required.Nama Penuh

First Name

Last Name

3

Phone Number* This field is required.

Area Code

Phone Number

4

EmailA copy will be sent to you email / salinan akan di hantar pada email kamu

You can leave it blank if you don't remember / Anda boleh tinggalkannya kosong jika tidak ingat.

5

Device Type/Jenis Peranti* This field is required.If other type at other box/Jika lain-lain taip pada kotak lain-lain

Laptop

Desktop/PC

Smartphone

Printer

Other

6

What brand is your device?(Leave it blank if unsure)Apakah jenama peranti anda? (Biarkan kosong jika tidak pasti)

7

What model is your device?(Leave it blank if unsure)Apakah model peranti anda? (Biarkan kosong jika tidak pasti)

8

Is the device under a manufacturer's warranty?* This field is required.Adakah peranti ini dilindungi oleh waranti pengeluar?

YESNO

9

We do not recognize or accept any manufacturer warranties. / Kami tidak mengiktiraf sebarang waranti pengeluar.You may want to reach out to the place where you purchased your device to confirm if the diagnosis and repair are covered by your existing manufacturer warranty. Anda boleh menghubungi tempat di mana anda membeli peranti anda untuk mengesahkan sama ada diagnosis dan pembaikan peranti anda dilindungi oleh waranti pengeluar yang sedia

10

Take a phote of your device* This field is required.Ambil gambar peranti anda

11

Describe the issue(s) you are facing with the deviceTerangkan isu yang anda hadapi dengan peranti

12

When roughly will you be able to submit your device to Adly Computer R&S?Kira-kira bila anda boleh menghantar peranti anda ke Adly Computer R&S?

Date

13

Terms and Conditions* This field is required.Term dan Syarat

14

Please sign here* This field is required.Tolong tanda tangan sini