Claim Request Form
Please fill out the following fields to create your claim request.
Purchase Date:
27/10/2022 -- 24/11/2022
Redemption Date:
27/10/2022 -- 25/12/2022
Select Your Gift
Choose one from the following three gift options:
Contact Details
First Name:
Last Name:
Email:
Contact Number:
Delivery Address
Street 1:
Street 2:
Suburb:
State:
Post Code:
Purchase History
IMEI No:
How to obtain my IMEI number?
Proof of Purchase :
( jpg, jpeg, png only, with Maximum size: 5MB)
Screenshot of IMEI / Device Code:
( jpg, jpeg, png only, with Maximum size: 5MB)
Screenshot of IMEI Page: Settings > About Phone > Status
Terms and Conditions
Agree with Terms:
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