Service Request Form
Engineer Dashboard
1. Type of Service
Request Category
*
Select
AMC
Warranty
Out of Warranty
Others
2. Contact Information
Company/Organization Name
*
Select
Aryavart Bank
CCUPID
IIIT
ISO
ITI
Other
POWER GRID CARPORATION INDIA LTD.(PGCIL)
PUVVNL
RAM MANOHAR LOHIYA (RML)
SAD
UPDESCO
UPSDC
UPSIDC
UPSRTC
Uttar Pradesh , Aarth Evam Sankhaya Bhawan
UTTAR PRADESH POWER CARPORATION LTD.(UPPCL)
Case ID
( optional )
Contact Person
*
Email(Optional)
Contact No.
*
Alt Contact No. (Optional)
Enter Verification Code
*
Get Code(NOT MANDATORY)
Address
*
Nearest Landmark
City
*
Pincode
3. Equipment Details
Product/Equipment Category
*
Select
ADAPTOR
AIO All-In-One
CCTV Camera
Desktop
INVERTER
Keyboard
Laptop
MONITOR
Network switch
Networking
Other
Printer
TV Display
UPS
OEM/Make
*
Select Make
Acer
ATDSC
Bosch
BPE
Canon
Cyber Power
Dell
Delta
Epson
Grandstream
Hitachi
HLBS
HP
LG
Samsung
Xerox
Other
Product Model No
*
Product Serial No
*
Serial No. Image
Problem Description
*
Submit Request
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