Warranty Registration
Fill this form to register your Xprecia Prime system for seamless customer support services. 
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Email *
Device Purchased *
Customer Name *
Customer D.O.B *
MM
/
DD
/
YYYY
Address *
Prescribed By *
Mention the name of Prescribing doctor 
Mobile Number 
 *
Device Serial Number *
Please refer the back side of the meter (not box) for Serial number of the device.
Device Model Number
Please refer the back side of the  meter (not box) for Model number
Date of Purchase *
Input date as on the invoice copy
MM
/
DD
/
YYYY
Device Installed By
Please mention the name of Executive
Installation Type *
Preferred contact method *
Required
A copy of your responses will be emailed to the address you provided.
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