Fault report dated __.__.____

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"DIS/TIS" defect form

Fault report from __.__.____

SENDER: (Company stamp)

Dealer number: ______________________________

Defect was determined by: ______________________________

System concerned:

(Please check where appropriate)

Can problem be reproduced? Yes/No

Problem description (always enclose hard copy)

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Contact persons for fault reports:

• China/Hong Kong/Taiwan: Mr. Ma Jian, V-1-CH, Phone: 0086-1064637946 Fax: 0086-1064637949
  
• Thailand: Mr. Schenk
  
• Korea: Mr. Lee
  
• Russia: Mr. Fironov, V-1-OE, Phone: 007-095-2580950, Fax: 007-095-2580988
  
• Other countries: Contact persons at subsidiaries