Instrument or service complaint

Complaint date:

Sort of instrument: *

Name and type of instrument: *

Serial number of instrument: *

Catalogue code of instrument:

Installation date:

Installed by:

Distributor / User:

Company name: *

Address - Country *

Specify Country

Address - street, number: *

Address - city, postcode: *

Address - state: *

Address - phone: *

*

Your e-mail address: *

Distributor name:
(if user complaints)

Complaint reason: *
(max 508 characters)

Write number of error message, faulty part or how the fault or malfunction appears
If you are the distributor you can define needed spare parts - you have to follow out this specification – catalogue number / name of spare parts / needed number of pieces.

Enter text shown:

*

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Sort of instrument required Instrument name required Serial number required Company name required Country required Address street number required Address City & Postal code required Address state required Address phone number required Email required Complaint reason required

	8 Chandivali Studio Road, Andheri East, Powai, Mumbai, Maharashtra 400072
	1800 103 8226
	transasia@transasia.co.in

	Erba Diagnostics FZ-LLC
	DSP Tower - South, 19th Floor,
	Dubai Science Park, Dubai, UAE
	sales@erbamannheim.com