Name:

Address:

City:

Pincode:

Contact No.:

Email-Id:

Product Model:

Serial No.:

Invoice No.:

Invoice Date.:

Purchased from:

Installed by whom: ---Dealer MechanicOur Mechanic

TECHNICAL DETAILS AT SITE (To be provided)

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 product used:

Product where installed:

Installation details:

Type Of Service Required:

Suggestions: