CCR - South

CCR - South

Visit Type *
N/A

-Select-
Complaint Type *
N/A

-Select-
Ticket No *
N/A
Partner Name *
N/A
Zone *
N/A

-Select-

Customer/Partner Name *
N/A
Customer/Partner Mob
N/A
Customer/Partner Address
N/A
Contact Person
N/A
Problem Reported *
N/A
Observation *
N/A
Call Reported At *
N/A

dd-MMM-yyyy HH:MM AM/PM
Call Attended At *
N/A

dd-MMM-yyyy HH:MM AM/PM
Complaint Status *
N/A

-Select-
Action Taken
N/A

Engineer Remarks
N/A
Partner/Customer Remarks
N/A
Engineer Name
N/A
EMP ID *
N/A
Engineer Signature
N/A

E-Signature Field
Clear
Customer/Partner Signature
N/A

E-Signature Field
Clear

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