Device Service Slip

Repair Request

NATTY ELECTRONICS CONSORTIUM
REPAIRS, SPARES, SALES · DOUALA

Fill out the form below to submit a repair request. You will receive a service slip with a unique number to track your device.

Client Information

Client Name *

Phone number *

ID Card Number (CNI)

Neighborhood / Location

Device Information

Device Brand *

Model *

S/N or CODE

Fault / Observed Issue *

0 / 1500

Remarks (Physical condition, included accessories...)

0 / 1000

Device Photo / Image (Optional)

Accepted formats: JPG, PNG, WEBP.

TECHNICAL INTERVENTIONS & RISKS DISCLAIMER

I unreservedly understand that repair, disassembly, soldering, and reprogramming interventions carry inherent technical risks that may result in unforeseen damage or total loss of device functionality. I release and waive any liability lawsuits, risk assumptions, and compensation claims. I have read, understood, and consent to this agreement.

I have read and unreservedly accept the terms of this agreement. *

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