Вы находитесь на странице: 1из 8

Claim Number :

Customer Name

Customer ID

CSAF #

Service

Package Details

Claim Reason

Amount Involved

Form: EM 7.8.3 -1F


Revision: v1.1 1
Issue Date: 30/01/2008
Prepared By:
Sales Support

Credit & Collection Dept:

Billabe Amount

Forwarded to sales channel

Sales Manager Signature

Dues Cleared

Hardware status
(If Required)

Verified By:
Service Delivery Support

Amount Approved

Equipment Replacement

Approved
Sales

Form: EM 7.8.3 -1F


Revision: v1.1 2
Issue Date: 30/01/2008
Data Entered in CRM By :

Form: EM 7.8.3 -1F


Revision: v1.1 3
Issue Date: 30/01/2008
Customer Claim Form

Date:

[ ] Voice [ ] Internet [ ] Data [ ] VAS [ ] Others

PKR

Form: EM 7.8.3 -1F


Revision: v1.1 4
Issue Date: 30/01/2008
Verified By:
Customer Services

Name: Date:

PKR

Approved Approved
C&C SDS

Form: EM 7.8.3 -1F


Revision: v1.1 5
Issue Date: 30/01/2008
Form: EM 7.8.3 -1F
Revision: v1.1 6
Issue Date: 30/01/2008
Customer Claim Form
Customer Name CNIC

Address Contact #

Customer ID CSAF #

Services Voice Internet Data Multimedia Others

Package Details

Nature of Claim

Refund of Security Over Billing Unplanned Outage

Faulty Equipment Faulty Prepaid Card/Voucher Others

Reason For Claim

Claim Amount Cheques Yes No

Customer Signature Date

Kindly attach the following documents:

CNIC Copy In all cases


CSAF - Customer Copy Incase of Refund of Security
Finance Receipt Incase of Refund of Security

For Official Use Only

Customer Services Department

Checked by Designatiuon

Signature Date

Form: EM 7.8.3 -1F


Revision: v1.1 7
Issue Date: 30/01/2008
Finance Department (Claim & Settlement)

Billable Amount Forwarded to SM

Date - Forward to SM Date- Returned from SM

Dues Cleared Yes No Forwarded to SDS

Date Signature

Field Engineering - SDS

CPE Installed Yes No *CPE Received Yes No

CPE Condition OK Unsatisfactory Deduction Amount

Field Engineer Name & Signature Date


* Incase where sales weere made by Franchise / Affinity, the related sales channel is required to acquire CPE from customer
premises and hand over to SDS. However, in case of Corporate sales, Wateen SDS will acquire the CPE from the customer.
Finance Department (Claim & Settlement)

Customer Claim Calculation: Returned Cheques


Rs Chq No Account #
Claim Amount

Less:
Deductions IT Billing
Deductions - SDS
Deductions - Others
Total Deductions
Net Payable
Paid Through Chq #
Account #
Bank
Branch

Remarks

Finance Executive Name Signature

Assistant Manager Name Signature

Forwarded to Sales Channel Date

Customer Acceptance

I have received the settlement amount along with all related cheques (if any) and I have nothing left
outstanding against said claim from Wateen Telecom Pvt Ltd.

Customer Signature

Form: EM 7.8.3 -1F


Revision: v1.1 8
Issue Date: 30/01/2008

Вам также может понравиться