Complaint & Service Request Form

We're here to help resolve your equipment-related concerns.

Please provide the details below so our service team can understand the issue accurately and take the necessary action at the earliest.

For faster resolution, please share a clear description of the complaint along with relevant photographs/videos, wherever applicable. Equipment details such as the Equipment Code, Serial Number, Commissioning Date and Material Handled help us identify the equipment and assess the issue more efficiently.

Before You Submit

Please ensure that all mandatory and relevant information is filled in correctly.
Provide a valid contact number of the site contact person for service coordination.
Please mention the complaint clearly and attach clear photographs/videos of the equipment or issue, wherever applicable.
Equipment Code and Serial Number should be entered exactly as mentioned on the equipment name plate.
Incorrect, incomplete or insufficient information may result in delays in complaint assessment or resolution.
Submission of this form constitutes acceptance of our Terms & Conditions.
Complaints will be reviewed by our service team and addressed based on the nature of the issue, equipment condition, warranty/service terms and applicable Terms & Conditions.

Need Assistance? Our service team is here to help. info@cosben.in +91 25223 52800

Please provide the details below

Complaint Date *

Customer Name *

Complete Site Address With Pin Code *

GST No. Of Site *

Site Contact Person Name *

Contact No. *

Email ID *

O.E.M

Complaint Description In Detail With Photographs *

Upload Photographs JPG, PNG, MP4, MP3 up to 5MB each

Equipment Code As Written On Name Plate *

Sr. No. of Equipment As Written On Name Plate *

Commissioning Date of Equipment *

Material Conveying/Handled *

Customer Comments *

I confirm that the information provided is accurate and I agree to the Terms & Conditions.

We're Committed to Resolving Your Issue Our team will review your complaint and contact the concerned site representative for further clarification or service coordination, if required.