Complaint Registration Form
Product Name*
Select
LITHIUM-ION E-RICKSHAW BATTERIES
Model Name*
Serial No.*
Purchase Date
*
Problem*
Name*
Mobile No*
Alternate Mobile No
State*
-Select-
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISHGARH
DELHI - NCR
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
HYDERABAD
JAMMU KASHMIR
JHARKHAND
KARNATAKA
KERALA
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NEPAL
NEW DELHI
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UNKNOWN
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City*
Pincode*
Address*
Customer Remark
Photo
Please wait, submitting...
