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Company name

First Name

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Request sent to

Is it a additional demand or request about open ticket?

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Ticket #

Ticket number must contain 8 digits, starting with n 0. E.g. 00012345

Request type

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Request description

Be as detailed as possible. If possible, include the machine, cell and station numbers. If you need technical support, also mention the alarm number, your observations and the history of the problem. For all requests concerning spare parts, please indicate the Mikron article number.

Attached files

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Mikron line name or #

Cell #

Station #

Severity impact

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Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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