Customer Service Request Form

Customer Information (Where services to be provided)   * Astrict Marked Fields are Mandatory * Customer Name : * * Contact Person Name : * * Surname : * * Contact No :  (eg. 1234567890) * * E-mail ID : * * Address 1 : * * Address 2 : * * City : * * Pin code :  (eg. 123456 -> only numeric) * * District : * * State : * * GST No. : *

Product Detail * Serial No. : * (eg. 15/123456) * Nature Of Issue  : -Select- Gear Box Foot Damage Gear Box H.S Cover Damages Gear Box H.S Ring Damages Gear Box Internal Gears failure Gear Box Heavy Noise Gear Box Bearing Noise Gear Box Excess Heating Gear Box leakages Gear Box output shaft key sheared Gear Box output shaft damage Ele Motor Current Issue Ele Motor Burnt Ele Motor casing damage Ele Motor Dimension problem Ele Motor Fan & Fan Cowl damage Ele Motor Fan Cowl damage Ele Motor Flange Damage Ele Motor Heating Problem Ele Motor Hold back Ele Motor Jam Ele Motor Noise Ele Motor Shaft Key Failure Ele Motor Shaft Play Ele Motor Tapping Ele Motor Terminal box Damage Ele Motor Tripping problem Ele Motor Wrong Supply Any Other/add information in additonal iformation * Aditional  Information : (Max. 200 Character) Attach Photo: (Max. 10 MB)