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Money Back Guarantee Form

Money Back Guarantee Form

Kindly complete this form to help us understand better.
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    IMPORTANT NOTE:

    Before you start filling up this form, please take a picture or scan a copy of the original invoice as you will be required to upload it.

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    * Must select at least one
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    * Must select at least one
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    Important Note: 

    1. Please use registered post or courier service to return the product, so that the parcel can be tracked.
    2. Please bubble wrap the product for proper protection, as Medklinn will not be responsible for units damaged or lost during transit.

    Refund & Return Details

    Successful refund will be processed in the form of Direct Bank Transfer.
    Please furnish us with your bank details as follows:-

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    As per identity card
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    Please Select
    • Please Select
    • Affin Bank Berhad
    • Alliance Bank Malaysia Berhad
    • AmBank (M) Berhad
    • BNP Paribas Malaysia Berhad
    • Bangkok Bank Berhad
    • Bank of America Malaysia Berhad
    • Bank of China (Malaysia) Berhad
    • CIMB Bank Berhad
    • China Construction Bank (Malaysia) Berhad
    • Citibank Berhad
    • Deutsche Bank (Malaysia) Berhad
    • HSBC Bank Malaysia Berhad
    • Hong Leong Bank Berhad
    • India International Bank (Malaysia) Berhad
    • Industrial and Commercial Bank of China (Malaysia) Berhad
    • J.P. Morgan Chase Bank Berhad
    • MUFG Bank (Malaysia) Berhad
    • Malayan Banking Berhad
    • Mizuho Bank (Malaysia) Berhad
    • OCBC Bank (Malaysia) Berhad
    • Public Bank Berhad
    • RHB Bank Berhad
    • Standard Chartered Bank Malaysia Berhad
    • Sumitomo Mitsui Banking Corporation Malaysia Berhad
    • The Bank of Nova Scotia BerhadUnited Overseas Bank (Malaysia) Bhd
    Please Select
    • Please Select
    • Courier back to Medklinn at my own cost
    • Drop-off at Medklinn Showroom
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    -
    Pick a Date
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    Please Select
    • Please Select
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    • 2
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    Please Select
    • Please Select
    • Autoplus
    • Autoplus + Docking
    • Asens+20 / Asens+20i
    • Asens+40 / Asens+40i
    • Versa 25
    • Versa 45
    • Versa 45s
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    Please Select
    • Please Select
    • Autoplus
    • Autoplus + Docking
    • Asens+20 / Asens+20i
    • Asens+40 / Asens+40i
    • Versa 25
    • Versa 45
    • Versa 45s
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • Should be Empty:
365 Money Back Guarantee Form | Malaysia
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