Request Support

IT Support Request Form

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Are you an Institute or an Individual?

Individual

Institute

Institute Name (Optional)

First Name

Last Name

Designation or Department (Optional)

Phone Number

Email Address (Optional)

Select the issues

Printer

Mouse / Keybord

PC

Screen

Projector

Network

Software

Other

Please describe your issue

Priority of the Request (Optional)

Urgent

Normal

I confirm the above details are correct.

Opretterweg 21R , 1323 VK Almere, NL

Info@gehirnetech.com

+923187437321
+31648212408