Full name as per IC
*
Phone/Mobile
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IC Number
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Email address
*
Purchase Date
*
Address
Address Line 1
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Address Line 2
*
City
*
State
*
Postal code
*
Country
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Select an option
Malaysia
Gender
*
Male
Female
How did you find out about our brand?
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Television
Newspaper
Billboard
Social media
Promotional videos
Search engines
Customers testimonials
Peer referral
Radio
Others
Item Category
*
Television
Freezer
Refrigerator
Washing Machine
Air Conditioner
Upload Warranty Card
*
Upload Purchase Receipt
*
Product Model
*
Serial Number
*
Dealer Promoter Details
Promoter Name
Promoter Phone Number
Promoter Email
Dealer Name
Dealer Outlet
Do you wish to receive promotional materials from Skyworth?
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Yes
No
You agree to the terms and condition shared in this form
I have reviewed all the T&C on the warranty card, and agree and accept the T&C provided
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