Customer Concern/Query Register Form
Zambia
Kenya
Tanzania
South Africa
Ghana
Uganda
Mozambique
Senegal
Ivory Coast
Malawi
Nigeria
Zimbabwe
Country
*
*
Is your vehicle financed by Alliance Finance Company Limited (AFCL)?
Yes
No
Jaguar Land-Rover
Tata Motors
Daewoo Trucks
John Deere
Force Motors
ISIZU
Mitsubishi
Others
Brand / Make
*
First Name
Last Name
Email Communication Mode
Mobile Communication Mode
Preferred Mode of Communication
*
Phone No.
eg 9876543210 / 6543210
E-Mail Id
Design
Sales Category
Service Workshop Category
Spare Parts Category
Category
*
Sub-Category
*
Brief Description
Is it a Repeat Concern
Additional Information
Registration No
Invoice No
VIN No
Job Card No
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