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DATA RECOVERY REQUEST FORM
     
CUSTOMER INFORMATION DATE :  
     
COMPANY NAME : CONTACT PERSON:
ADDRESS : TEL :
  FAX :
  EMAIL ADDRESS :
     
JOB DETAILS
     
MEDIA MFR.  MEDIA :  SERIAL NO.
 
Interface ( Please select one of the following)
 

SPECIAL PARTITIONS OR DEVICE DRIVERS :
COMPRESSION :  
OPERATING SYSTEM :  
   
PARTITION DESC.
     
DESCRIPTION OF FAILURE
Circumstances and observation of Failure (also describe if you hear any strange clicking sound etc)
     
What recovery attempts have been made?
     
Specify Files or Folders that are most needed. By default, recovery data will be delivered on CD. Very Important for you to fill up this up as clearly as possible.
     
I would like to use Service and return/destroy the data media after data recovery process. (* delete where applicable).

Note : Standard Service takes about 1-10 working days and Priority Fast Takes less than 5 days.
     
How did you come to know about this data recovery service?
 
   
     
 
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