Yang Terhormat Bapak / Ibu Konsumen Darya-Varia
Demi kemudahan kami untuk melakukan investigasi terhadap keluhan Bapak / Ibu, mohon kerja sama Bapak / Ibu untuk mengisi informasi pada formulir dibawah ini:
An Honored Mr. / Ms. Consumer of Darya-Varia,
In order to investigate your complaint, we would like to appeal your cooperation to fill up the information in this form as below:
Detail Pelapor / Reporter Detail
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Detail Konsumen / Consumer Detail
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Informasi Produk / Detail Product
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Keluhan / Complaint
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Pembelian / Purchase
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* Gambar harus jelas
* Maksimal 3 file
* Maksimal total file 5 MB
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