Purchased From Dealer Name & Address
Installed By Whom ( TIK ): ---Dealer MechanicOur Mechanic
MOTOR DETAILS
Single Phase V A
If Running By Two Phase:YesNo
PUMP DETAILS
Voltage:
Ampere:
Phase:
Delivery / Suction:
IF PRODUCT MODEL IS MONOBLOC / SURFACE (Kindly fill the following details)
Suction lift:
Delivery in feet:
IF PRODUCT MODEL IS BOREWELL(Kindly fill the following details)
Borewell depth:
Water level:
Borewell yield:
Control Panel used:
Application where the pump is used:
Your Name & Address:
City:
Pincode:
Phone No:
Email id:
Performance Satisfied : YesNo
Other Comments: