RMA / WARRANTY CLAIM FORM Please fill-in your details and product information for RMA / Warranty Claim Company Name Address Tel Email Contact Person Product Details: Model No. Product Description Quantity Invoice No(s). Serial No(s). Location of Product Use (Complete Address) Failure Description Product Failure Images: (jpg / png / pdf)(max. 5MB) Image 1 Image 2 Image 3 If the product was not bought from us, please mention the details of purchase- Date of Purchase Vendor/Supplier Name Address Additional Comments/Remarks Terms & Condition: 1) All Accessories including cables & power supply must only be returned back along with the product if they are also faulty. 2) Warranty claim may be rejected if product is physically damaged. 3) All road tax, octroi or any entry tax is payable by customer. 4) Customer should send the product to our warehouse address mentioned below on freight prepaid basis. Highness Microelectronics Pvt. Ltd. RMA Department (RMA# XXXXXXXX) R364, TTC Industrial Area, Rabale, Mumbai- 400 701, INDIA Tel.: +91 98921 34304 (Please ensure to mention your RMA No. on the package) By submitting this form, the warranty (clause 6) & other terms of our Sales- Terms & Conditions is deemed accepted.