WARRANTY FORM Date of Purchase: Name: Address Line 1: Address Line 2: Sex: Male Female Nationality: Choose any country United Arab Emirates AFGHANISTAN ALBANIA ALGERIA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA BOTSWANA BRAZIL BRUNEI BULGARIA BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAR CHAD CHILE CHINA COLOMBIA COMOROS CONGO CONGO COOK ISLANDS COSTA RICA COTE DIVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DJIBOUTI DOMINICA DOMINICAN ECUADOR EGYPT EL SALVADOR EQUAT. GUINEA ERITREA ESTONIA ETHIOPIA FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA GABON GAMBIA GEORGIA GERMANY GHANA GREECE GREENLAND GRENADA GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA KUWAIT KYRGYZSTAN LAOS LATVIA LEBANON LESOTHO LIBERIA LIBYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL MAURITANIA MAURITIUS MEXICO MOLDOVA MONACO MONGOLIA MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NEW ZEALAND NICARAGUA NIGER NIGERIA NORWAY OMAN PAKISTAN PALAU PALESTINE PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES POLAND PORTUGAL PUERTO RICO QATAR ROMANIA RUSSIA RWANDA SAMOA SAMOA SAN MARINO SAO TOME SAUDI ARABIA SENEGAL SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SPAIN SRILANKA SUDAN SURINAME SWAZILAND SWEDEN SWITZERLAND SYRIA TAIWAN TAJIKISTAN TANZANIA THAILAND TOGO TONGA TRINIDAD TUNISIA TURKEY TURKMENISTAN TUVALU UGANDA UKRAINE UNITED KINGDOM UNITED STATES URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM YEMEN ZAMBIA ZIMBABWE Location: Mobile No: E-mail : Age: Select Age Below 20 20-30 30-40 40-50 Above 50 Salary: Select Salary Below 2000 AED 2000-5000 AED 5000-10000 AED 10000-20000 AED Above 20000 Item Name: Model No: Serial No: Outlet Name: Wedding Anniversary: Month in Digit Day in Digit Birth Day: Month in Digit Day in Digit