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(Fields marked with a * are mandatory)
Your details
First Name*
Last Name*
Address*
Contact Number*
Mobile Number*
Email*
 
Your Handset Information
Model Number*
IMEI / No*
(To find out IMEI Number of your handset type *#06#)
Please describe the problem you are facing*
Date of Purchase*
Country of purchase*
Have you taken backup of your Phone Data*
(Nokia will not be responsible for any loss of data in case you have not taken a backup.)
 
Appointment Details
State*
City*
ASC Name*
Appointment Date*  
Appointment Time