Customer Particular
Customer Type
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Contract Customer
Non-contract Customer
Title
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Mr
Ms
Dr
Mrs
Miss
Prof
Name
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E-mail
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Contact
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Postal Code
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Address
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Quantity of Indoor Units to Service
Complaint A
Location
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Master Room
BR 2
BR 3
Living
Dining Room
Nature
Please Select
Not working at all (No Lights)
Not working (FCU Light Blinking)
Working but not cold
Water leaking
Complaint B
Location
Please Select
Master Room
BR 2
BR 3
Living Room
Dining Room
Nature
Please Select
Not working at all (No Lights)
Not working (FCU Light Blinking)
Working but not cold
Water leaking
Other Complaints
Preferred Date & Time * minimum 2 working days
-
Day
-
Month
Year
Date Picker Icon
9:30am - 12:30pm
12:30pm - 3:30pm
3:30pm - 5:30pm
Remarks
SUBMIT
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