| Please fill your Details Carefully : |
| License Number |
: |
eg. :
E-1234567890 |
| Contact Person |
: |
|
| Customers Office Name |
: |
(please type 'Home' if for home use.) |
Personal Information : |
| City |
: |
|
| Customers Mobile No. / Land Line No. |
: |
|
| Customers E-mail ID |
: |
|
| Number of PCs at this location
|
: |
|
| PC Type |
: |
(Desktop / Laptop / Server) |
| Dealer's Name |
: |
|
| Dealer's Mobile Number |
: |
|
| New Installation Code |
: |
|
Previous Unlock Code /
Activation Code |
: |
|
Purchased when (Approx)
e.g. : 2 months ago / 15 days ago
|
: |
|
| Reason for requesting change of Code |
: |
|
* All fields are Compulsory |
