Mala's | Registration

Name

Mobile No

Email

State

City

Product Name

Purchase From State

Same as above

Purchase From City

Date Of Manufacture (Please refer to the product label)

Time Of Manufacture (Please refer to the product label)

Batch Number

Purchased From

Other

Was the product opened after purchase?

Did You Observe any of the following in the product?

Any Leakage

Too Thick

Too Flowy

Puffed

Any Foreign Contamination Inside the Product

Any Foul Smell

Other

Attach Batch No Image *

Attach Product Front Image *

Other Image if any