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SUPPORT REGISTRATION FORM
* Name of the Customer
:
*
 Address of Plant/Location where complain to be
  attended
:
*Name of the Concern Person
:
*Phone No.
:
Fax No.
:
Mobile No.
:
e-mail
:

*TYPE OF SUPPORT REQUIRED
Breakdown
Commissioning
Maintenance
ARC

*Service support required for
Charger
LT Panel
AVR/SEU Panel
PLC Panel
Relay Panel
Battery
Software
Other
 
Is equipment purchased from us
Yes
No

*Brief description of nature of Problem/Service desired
   
* Panel Sr.No.
 :
Invoice No.
:
Date:
:
Request to register our complain & revert back immediately
* Mandatory field
 
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