testing for activity logs
Purchase Date: 11/3/2026 12:00 AM - 14/5/2026 11:59 PM
Last Claim Date: 15/5/2026 10:30 PM
testing for activity logs
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testing for activity logs
testing for activity logs
Contact Information
The Full Name (as per I/C) field is required.
The IC No. field is required.
The Contact Number field is required.
The Email field is required.
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
The Date of Purchase field is required.
The Store field is required.
The Invoice Number field is required.
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)
The Salesperson Phone Number field is required.
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