Customer Feedback Form

Applicant Name:People who submit this form

Customer Name:(People who use the product):

IC No.

Email Address:

Contact No.

Preferred Communication Language

Chinese 中文

English

Product Name

Affected Quantity

Date of Purchase

Invoice No.Invoice Number must be accurate

Batch No.Batch Number must be accurate

Issue / Feedback

Photo / Image

Photo 2 / Image 2

Photo 3 / Image 3

Photo 4 / Image 4

Photo 5 / Image 5

Photo 6 / Image 6

Feedback will be addressed within 3 business days.

I have read and understand that feedback will be addressed within 3 business days.