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Pump Model / Type: Hp Phase
Sl.No Size:


Purchased From Dealer Name & Address

Bill No Date ( yyyy-mm-dd ) Amount


Installed By Whom ( TIK ):

Installed Date ( yyyy-mm-dd ) :

MOTOR DETAILS

Single Phase V A

If Running By Two Phase:

Three Phase Voltage Current (A)
R - Y (No Load) (Full Load)
Y - B (No Load) (Full Load)
B- R (No Load) (Full Load)

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 :

Other Comments: