Customer Incident Form

Phone: +965 22090750
P.O BOX 3555, SAFAT, 13036, KUWAIT

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Customer Details

Customer Name

Customer Location

Caller Name

Caller contact tel. #

Caller Email

Equipments Details

Equipment Name/Model

Equipment Serial Number

Please describe the incident

Customer incident ref

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Address:

BLOCK 2 AREA 277,

ARDIYA INDUSTRIAL AREA

P O BOX: 3555,

SAFAT, 13036, KUWAIT

Phone: +965 22090750

Fax: +965 22090740, 22090760

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