Contact Information
Company Name*:
Name*:
Email*:
Telephone*:
Fax:
Address:
Country:
Technical Information
Company that supplied the reader to you:
Part Number of the reader
(P/N label on the back label):
Serial number of the reader
(S/N label on the back label):
Smart Card Reader Model*:
Firmware Version (Specify):
Smart Card Used*:
Others (Specify):
Software Driver Used*:
Driver Version (Specify:
Type of Device to which reader is connected*:
Device Brand & Model Number:
If using COM port, other devices on COM port :
Steps to Reproduce the Error Encountered :
Attach Screenshots of Error Encountered (1MB max.)

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