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Requirement Analysis : Submit Your Service Requirements
Requirements Form
Company Information
Company Name: *
Please enter the company name.
Industry Type: *
OEM
E-commerce
Retail
Other
Please select an industry type.
Contact Person's Name: *
Please enter the contact person's name.
Designation/Role:
Email Address: *
Please enter a valid email address.
Phone Number: *
Please enter a valid 10-digit phone number.
Company Address: *
Please enter the company address.
Service Requirements
What type of services are you interested in? *
Extended Warranty
ADLD
Affinity
Please select a service type.
Estimated number of devices or assets needing coverage: *
Please enter a valid number of devices.
Types of devices: *
Home Appliances
Kitchen Appliances
Electronics
Other
Please select a device type.
Do you require custom service level agreements (SLAs)? *
Yes
No
Please select an option for SLAs.
Current Service Setup
Are you currently working with any warranty or service providers? *
Yes
No
Please select an option for current providers.
If yes, who are your current providers?
Describe any challenges you face with the current service setup:
Integration and Customization
Do you require API integration for claims and service tracking? *
Yes
No
Please select an option for API integration.
Additional Information
Any specific requirements or special instructions:
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