Product Warranty

Date Of Birth:
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Product Category*:
Please upload a copy of the receipt*: (max.2mb | file support jpg or pdf)
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How did you hear about the product? *
Which of the following are the top 3 reasons that you decided to buy the product in the end? [SELECT UP TO 3]*

User-friendlyTrusted brandProduct featuresProduct design qualityRecommended by family/friendsRecommended by family doctorRecommended by pharmacist/salespersonDiscountsAffordablePremium qualityLimited optionsOther