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 RMA REQUEST FORM : SAMPLE 
 
ID TECK Co., LTd 
 
5F, Ace Techno Tower B/D, 684-1, Deungchon Dong, Gangsuh Gu, Seoul, Korea 157-030 
TEL : +82-2-2659-0055, FAX ; +82-2-2659-0086, www.idteck.com   
RMA REQUEST FORM 
RMA No. & Date : 
We send this No. , when you want. 
Original Invoice No. & Date : 
00-00-0-000 / 1990.01.01
Send To 
RMA Control Center 
5F, Ace Techno Tower B/D 684-1, 
Deungchon-Dong, Kangsuh-Gu 
Seoul, Korea, 157-030 
Sales Person In Charge
 
                                          Karina Kwak 
Requested From : 
 
Mr. Luis Castro 
  ABC Company,… address…. 
 Tokyo, Japan
 
Shipping Port : 
Narita 
Air / Vessel : 
Air 
Departure 
Date
 : 
2003, 11. 25 
NO Model 
Serial 
Number 
Error Check Box by shipper
 
505R XXXXXXXXXXXXX 
RS 232 Com. □ 
Input/Output □ 
Power ▣ 
Keypad ▣ 
Card Reading ▣ 
RS 422 Com □ 
Engineer 
Comment 
Write problem to be 
detailed
Others □ :   
others  
RS 232 Com. □ 
Input/Output □ 
Power □ 
Keypad □ 
Card Reading □ 
RS 422 Com □ 
Engineer 
Comment 
 
Others □ : 
 
 
RS 232 Com. □ 
Input/Output □ 
Power □ 
Keypad □ 
Card Reading □ 
RS 422 Com □ 
Engineer 
Comment 
 
Others □ : 
 
 
RS 232 Com. □ 
Input/Output □ 
Power □ 
Keypad □ 
Card Reading □ 
RS 422 Com □ 
Engineer 
Comment 
 
Others □ : 
 
 
 
 
RS 232 Com. □ 
Input/Output □ 
Power □ 
Keypad □ 
Card Reading □ 
RS 422 Com □ 
Engineer 
Comment 
 
Others □ : 
 
 
Manufacture’s Verification
 
Product Defective :   
User’s Misuse : 
Communication Error : 
Installation Error : 
Connection Error : 
Others : 
Packing Details
 
Dimension(L:W:H) :   
30 * 25 * 80
                                      No. of Units         
20    
Net & Gross Weight :       
10Kg   
                                      No. of Boxes         
Requested By                                              Received By 
 
      XXXXXXXX                                                                                                                   
            
Buyer’s Signature                                                                            IDTECK’s Signature