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Name
:
A red asterisk (*) indicates required questions.
CCMS Ident (123456)
*
Customer Account Number
*
Is the Customer a Repeat Caller?
*
Yes
No
Call Type (Tagging)
*
email issue
fault status/query
internet broadband is slow
internet cant connect
internet domain/homepage issue
internet dropouts/frequent disconnections
phone/voice issue
setup modem help
set up technical help
failed install status
new connection
porting/reassignment
Refence Number (of Fault Ticket)
*
Reason for Lodged Fault Ticket?
*
Modem Model (if applicable)
Additional Comments
*
Vodafone Offshore
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