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Serial Number*  
Customer Name *  
Pin Code*  
Phone No*  
Email *  
Date of purchase*   [DD/MM/YYYY]
Date of Registration*
Dealer Name*  
Shoe Size*  
Your Age? *

Less than 20 years old

20 30 years old

30 40 years old

40 50 years old

50 60 years old

More than 60 years old

Your annual household income (in Rs.)? *

Less than 2 Lakhs

2 4 Lakhs

4 - 10 Lakhs

10 20 Lakhs

More than 20 Lakhs

The reason(s) for your purchase.*

Investment in the future/chilren’s education

Entertainment- Watch movies, music

Attain a job/enhance or learn skills

Wanted a newer & faster machine

For office/business purpose

Affordable Prices

Past Relationship with HCL? *

Yes, I own or have owned an HCL Computer in the past.

No, I am a First Time Buyer of HCL.

Warranty Card
MRP Sticker
ID Proof 2012