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Product Quality Complaint

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Sections

Customer Information

* 必填项

Customer*

Contact Name*

Title(Designation)

Primary Email*

Additional Email

Phone Number

Street*

City*

State*

国家*

Zip/Postal Code*

* 必填项

Pall Part Number*

Industry Name - Auto populated

Customer Part Number

Customer Reference Number

Project Number

Purchase Order Number*

* 必填项

Occurence Date*

Report Date*

Reported Quantity*

Complaint Category

Is Sample Being Returned*

Complaint Description*

Lot/Batch Number*