REGISTER COMPLAINT
ARE YOU SURYA LIGHTING EMPLOYEE ?
EMPLOYEE ID
EMP. PHONE NO.
EMP. EMAIL ID.
CUSTOMER. EMAIL ID.
BUSINESS GROUP
SELECT
LIGHTING
LBG
TRADE
CONTACT NO.
CUSTOMER NAME
CUSTOMER E-MAIL ID
IS SITE CONTACT PERSON SAME AS ABOVE
Option 1
Option 2
DEALER FIRM NAME
SITE CONTACT PERSON
CONTACT NO.
SITE NAME
SITE ADDRESS
LANDMARK IF ANY (OPTIONAL)
STATE
Odisha
Odisha
Odisha
Odisha
DISTRICT
Cuttack
Cuttack
Cuttack
Cuttack
BRANCH NAME
Odisha
Odisha
Odisha
Odisha
PIN
UPLOAD FILES (MAX 20 MB.)
SELECT PRODUCTS
PRODUCT NAME
SUPPLIED
QTY.
DEFECTIVE
QTY.
WARRANTY IN
YEARS
DESCRIPTION
ADD ANOTHER PRODUCT
REGISTER COMPLAINT
