Registration of data recovery

DE Support Tel. 0234 - 962 90 390

Registration of data recovery

1 Details of the data carrier

2 Information of the data loss

3 Your contact details

4 Overview of your information

1 Details of the data carrier

Manufacturer

Type of data carrier please select

Select analysis service please select

Model number

Serial number

Capacity

Is the data carrier password protected?

Yes

Legal Notice

I hereby confirm that I have read and accepted the General Terms and Conditions (GTC) and data protection declaration of KUERT Datenrettung Deutschland GmbH.

2 Information of the data loss

Error description

Most important / lost data

Other technical informations

Have you already made data recovery attempts?

Yes

Data recovery attempts

If it is necessary, the data carrier will be opened in the clean room! (This can lead to voiding the warranty.) Do you agree?

Yes, I agree

No, it can not be opened

3 Your contact details

Mr. / Mrs.

Mrs

Contact person

Phone number

E-Mail address

Are you a business customer?

Yes

Invoice recipient

VAT ID no.

Country

Postal code

City

Street

House number

4 Overview of your information

Bitte geben Sie die im Bild angezeigten Zahlen ein