Name of the CustomerMobile NumberModel NumberComplaint TypePerformance IssueWarranty ClaimOthersPhoto of Invoice/ Warranty CardChoose FileNo file chosenDelete uploaded fileImages/ VideosChoose FileNo file chosenDelete uploaded fileIssue DescriptionSubmit Store NameContact Person NameMobile NumberCity NameInvoice NumberImages/ VideosChoose FileNo file chosenDelete uploaded fileIssueSubmit