--REMI s~LES & ENGIN EERIN G LTD. sR. No.

:~s/s, ~,,
G-· 1._~ .,._:, Kolkata - 70001 •
I, o· ... · Office : Bando House, 4th Floor, 29, Ganesh Chandra Avenue,
..~I-. l;l 3 II GROUP Service Center·: .153A, Acharya Praf~lla Chandra Roa~. (Sahitya Pari~had), Kolkata-700006
Office: (033) 2211 6367; Service Helpline No. : +91 84200 05736 (10 am. to 6 pm.)
E"'mi'il: [email protected] Website: www.remilabworld.com •
11
• ' HQ : K6lkata Mobile No. COMPLAINT. NO. COMPLAINT ~ATE :
Se~ice V-isit Re~ort of Mr. :R Gill $..o,.. Ct " 'Divisfo.n : -sJrvfce
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I~ I DATE: ·:- ::..;;,10/c~l!LtJ • Complaint Regist_ration Form enclosed. :8 9/81 sr;;~ SCI_ fee /N/$i 1lj} 18 ~,!,,b s
f
( Staring From : Home/Offic:e(Goclown/Customer/H¥ei :. J Left Time :O<]: 4c Arrival time at Customer:/() .'Stl Left. time from Cus~omer '() '-, .' l Q Arriyal time at Home/Office/Ho tel/Customer :

Service Ins t Detail~ WFRD Spares Sp_ares ChugabteO Free D

( Details of Customer Service Rendered under : -...;_/' • I iFR D
/f Name of Party •
Item,: Fe's] [No] Sl.1--- Item ,. Details of \ HSN Amount
r: 7T / ,.,__,,~ (1) AMC O CMC • D I Job completed I No. Code •spare parts CODE I Q.nty. I Rate I Amt. I GST% I GST Amt
1--.L.LJ~bo'-l'~..u .i::.....,,. · required
· (Yes] fl!fo]
,t.. Dept~ : +· ·
D Demonstration· D Revisit - • • 1 __ • .._
{ Address : ... (2) Installation
...., U(i) t J..!:......J.. .:.~~W:!::. !~t....-~~-- -,..--------+ ----_:____ _;__ _
-:---_-t---t-- --r.;.__-----: -1 ----1 --,--,-- r
t. •
'- • l. sr. No -?. : (3) Calibration
0 Vali~ation-· 0 • Reason for Revisit : 2
._ f
Out of r:1 S t ·( bl . ·;
j Person to who.m service given • (4 ) W ty D 3
Warranty . pares no ava1 a e
arran
Q.
ll • - ..
Voltage Stabilizer Ty lf 014 of n,anufacturing Guarantee visit• wrong Spares Received _ D
/, • _
RELAY • • charges recovered Amooot: • _
'i . be paid : Customer deferred services 5
Mc>tnle No. : ('I. Capacity• (KVA) : Visit / Service charges
,
will ;
IJ '
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r.,. <.. , •
f • f PO , rt D Further investigation required D Total Spare charges: ·'
t:";--. E-mail ID : • Make : • A ter receipt O as per repo & could not correct
f . .. _./
,., r- I - Without receipt of PO Quotation Submitted [Yes] '[No] . Service charges :
tI Actual name of Supplier 1-ine Voltage.,_: '\_/, '"'I
\I '.. '
·),. ,/ I 1Q / QO / PQ Done· D I Quotati9n No. : I • TOTAL
,, Invoice No. : - ~- Output Vol!age :
\' •' Calibration-Done I ·· I[ All Qualjficati~n DQc Submitted DI Quotation Date: (' ;':1.'~,\~-f4~1;''.;~:;~\ l PAYMENT RECElr>T STATU_S;"~~:~4.~~~,f • •
Date:
pta.1~~ Received Not Received D
f f' . · · .
•. H'- .... rYYtttyfl
,-,/M.J. i'J. ['.J>e-pe,,~ l-:t M. 6~ UJJ)l~-/1 cLv..P- ff> Amount Rs
/ • 'Y By Cash D By Cheque D Amount
ActuAI Fault Observed tn r ~ t : • · /- . / /"'1 Date
l3)) ( U fl/ , • ___ Cheque No. _,.... ....... ..
2:> U ff'QJ':- ....... .. •• , •• • ~,,_ •
0 fYI)} e_ WQ!). >
,:.i .,......... .:<--.. D .
.·. . •.· ···•~:"1\,t,= .. ).~"· ... :\;;,i ~-'!,,'<.....
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,,.:-;:~A:,~, ...-- ··!_~•, ·:-1;._;~ D . . - ~; ,,.... · ., · ·:_,f.\-1;:;-:~:~,i·~W;-:c/\:'- ;· ADVE~SE INCIDENCE,,:t.it\:~V~~f~ , ' -,
j . ·.... ·~:,;•Q~i:1'.t1:·o:;J,.,;;r'.'.;),, ··:;~'.r.~::{/!· . '·,:·...
Complaint Evaluation::::r · <_-,j~=:-.-; 10peratlonal-OeJi!!_ency _ ..:_._··: t, <i'·· Equtpment.~ficien_cy
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_',-0 r '~ -{ L<L. \I rY!) b)-t ,N-A.tN' _. ·s,-.,No. -,1,ftt•t~~t~~11s:~ny;l_rtdtcation that t~ :defect' ,res\Jlt~lii:::~: ,. Yes
Details of Service Renclered : -'1 ;
-c~clci.N~ - • 1 Medical Intervention •
>
'.\., I • 2 .I Injury to User
}. i
3 I Death - .--
'j >'
4 Measured values Display which were our of tolerance
Service Engfneet''Rena rks: I , ,,
NotD-~. ~+i<J ~ 1 f))~~A~ ~i~"1'~, Customer Signature with Stamp : J\r,.,~ •I f ') '(, t'(d,, "- i vb,.u•r .,N>(
Jf21 </ .-,1, -.,J flJ fr-ft.. f, \
7
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:: :i..r ;{~ .{~:!~~/~~~i.:,t_;:. -:~i~~:t~·~~;i}[_'~i_:1" ~-::~t~ ~::.~.:~i- .~ l,)t(:~~~~'~ Date: -=- -----
Any Critical Ol,wrvattoiit~}'i,i;rjJ,,~LJ Yes;;;i[,~~'i;;;LJN~:~-r~ • , -- • .-~;~·;1~~;~1(;~-~~fj:\~ •·~? ~-~·
Name,:
M (f i.J ti~• JJ IAJ . --~......._ , ..
Customer -Remarks : f 1___ (}J, 1' ~- --~ Designation : ..
~.-

'J, Sales Dept~ Remark with.Signatur e: . -~ --•·-

Service Englneeir's Name 7'.~J ,, I Service Dept, Remark with Slpture : ... ,

1
Service Ertgtneer"'s Sfgnature : - • --
. I ,

PAL/ 03-2024 / 40 8.aaks -