Quadri Group
Corporate DivisionCommercial DivisionHBM Division
Company / Customer Name *
Contact Person Name/Designation: *
Department: *
Cell/Whatsapp *
Address: *
Incident Date: *
Order Shipment Date: *
Production Batch #: *
Product/Item with Code: *
Quantity Delivered (with MOW:): *
Brand: *
Product Item Number: *
Supporting Documentation (Please provide detail of specific issue(s) encountered / observed).*
Remarks (if any): *
