testing for activity logs

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Contact Information

Full Name (as per I/C)

The Full Name (as per I/C) field is required.

IC No.

The IC No. field is required.

Contact Number

The Contact Number field is required.

Email

The Email field is required.

Address

The Address Line 1 field is required.

The Address Line 2 field is required.

The City field is required.

The State field is required.

The Postal / Zip Code field is required.

The Country field is required.

Purchase Information

Date of Purchase

The Date of Purchase field is required.

Store

The Store field is required.

Invoice Number

The Invoice Number field is required.

Upload Invoice

Kindly upload your invoice here. This will help us process your information more efficiently and ensure all details are accurately recorded.

Claims (Max 10 units)

Unit 1: Model Purchased

Quantity

Salesperson Phone Number (Optional)

The Salesperson Phone Number field is required.

Support

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