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Integrated
Solutions Limited |
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Service Request Form
| Company Name: _________________________________________ | Date: ____________________________________________ | |
| Contact Person: _________________________________________ | Total Pages: _______________________________________ | |
| Tel. No.: ______________________ | Fax No.: ________________ | Attn. ISL Consultant: ________________________________ |
| Product Name: _______________________ Version: ____________ | Module Name: _____________________________________ | |
| Platform: UNIX/NT/Novell/DOS | X-Connect: Y/N |
Function ID: _______________________________________ |
| Brief Description of Problem:
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Prepared by: __________________________ |
For ISL use
| ISL Reference: ________________________________ | Log No.: ______________________________________ |
| Action Taken:
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Action Taken By: ________________ |
| Date: _________________________ |