Technical Enquiry
Name
Functional Title
Phone
Fax
Email
Company Name
Are you an existing customer of ITQAN	Yes No
Problem Description
Summary description of problem
Platform(s) type related
If other please state
Select the solution related to the problem	e-government Health Informatics Infrastructure CKM Soultions ERP Solutions CRM Solutions e-Security & Networking Others
If other please state the solution
How serious is this problem affecting service?	Very urgent (4 hours) Serious(1) Moderate(1 Week) Minimal Effects ( 2weeks+)
What efforts have been made to correct the problem?
Preferred remedy?	On Site By Phone Email