AXICON Barcode Verifier User Feedback Form : JAN 2019
Submit this form duly filled in, and avail the latest updated software version
Company Name
*
Company Name
Address
Street Address
Street Address
City
State
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Contact Person
*
First Name
Last Name
Designation
*
Department
Email
*
example@example.com
Mobile No
*
Phone Number
*
-
Area Code
Phone Number
MODEL OF VERIFIER
*
6100-S
6025-s
6525-s
6515
7015
7025-s
6000w
12000
12500
12700
15000
15500
SITE INSTALLATION DETAILS
*
Location of Installation
Serial #
Installation Date
Latest VCAS Date
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2
3
USAGE SUMMARY
No of verification per Day
No of operators handling verifier
Printing process used for barcodes
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3
Type of Linear Barcodes Used
*
EAN 13
EAN 8
UPC A
UPC E
Code 128
Code 39
ITF 14
GS1 128
Pharmacode
GS1 Databar
Type of 2D Barcodes Used
*
Datamatrix
QR Code
GS1 Datamatrix
GS1 QR Code
Operation and User Feedback :
Ease in handling the verifier
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(Please garde from 1 to 10 , a grade 10 being the best)
Ease and comfort in user calibration of the verifier
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(Please garde from 1 to 10 , a grade 10 being the best)
Comfort in understanding the software feature and controls
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(Please garde from 1 to 10 , a grade 10 being the best)
Resolving operational doubts and parameter relevance
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(Please garde from 1 to 10 , a grade 10 being the best)
Technical support from the email and telephonic help desk of SANDILYAM
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(Please garde from 1 to 10 , a grade 10 being the best)
Ease in handling and special requirement of your clients, symbologies, reporting
*
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(Please garde from 1 to 10 , a grade 10 being the best)
Overall experience of how the VERIFIER has benefitted your process
*
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(Please garde from 1 to 10 , a grade 10 being the best)
Please don't forget to list out your inputs & comments for SANDILYAM team !
*
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