Company Name *

Contact Person *

Designation *

Contact Number * Enter Valid Phone Number

Email Id *

Purchase Order / Letter / Invoice No. *

Purchase Order Date *

Joint Inspection Date *

Date of Compliance in case of warranty *

Complain Type (Select) Classification of Warranty Failures Service Failures Call for Joint Inspection Consignee End Rejection General Complaints *

Type of Panel (Select) Main Power Control Centre Solar Power Control Panel Automatic Power Factor Control Panels (APFC) Auto Transfer Switch Panels Industrial PCC Panels PMCC Control Panel PCC CUM APFC Panel DG Panels Synchronization Panels Control Relay Panels Metering Panels Starter Panels Changeover Panels Main Lighting Power Socket Electrical Busduct Mild Steel Feeder Pillar Electric Control Desk Meter Panel Board HT 11 KV Panel *