Computer Repair Request Form

Full Name

Phone Number

Email Address

Device Type
—Please choose an option—Desktop PCLaptopAll-in-OnePrinterOther

Brand / Model

Select Service Package
—Please choose an option—Basic Service – ₹499 (General cleaning, software check)OS Installation – ₹799 (Windows/Linux installation & drivers)Full Repair – ₹1499 (Hardware + software diagnostics & fix)Custom Request (Explain below)

Problem Description

Preferred Service Type
—Please choose an option—In-Store RepairHome VisitPickup & Drop Service

Preferred Date & Time
[time preferred-time placeholder "Select preferred time"]

Upload Image (Optional)