OE MC DEALER CLAIM FORM - BATTERY

(Ref: DCF-1A - MC/08)

Dealer Name & Address:

Customer Name & Address:

Claim Form No: Date OED SAP Code Ph. No: E. Mail: Complaint Date Ph.No: E. Mail: A. Vehicle Details

Vehicle Make(Manufacturer) Model: Date of Sale

Claim Form Made By: B. Battery Details

Reg. No. KMS Covered Designation

Brand Mfg. Code

Original Warranty Card

Ah Capacity Serial No:

Original / Photo Copy of Vehice Service Book Original / Copy of Vehicle Sale Bill / Invoice

Documents Enclosed
Photocopy of RC book

C. Customer Complaint: ( Please give the customer voice in words of the customer only)

Complaint Details
D. Battery Inspection Details Check Terminals Container
Damaged Deformed

Electrolyte Level
Excess Above MAX Low below MIN

Appearance
SN PARAMATER
OCV 12.5V. Sp.Gr. 1.24 - 1.25 (100% SOC) Charging not reqd. OCV 12.3V. Sp.Gr. 1.21 - 1.22 (80% SOC) Charging Reqd. OCV 12.1V. Sp.Gr. 1.17 - 1.18 ( 50% SOC) Charging Reqd.

Corroded SPECIFICATIONS

Damaged

MEASURED VALUES

At time of receipt OCV

a) Battery Open Circuit Voltage & Specific Gravity in Each Cell b) Close Circuit Voltage (CCV)

C1

C2

C3

C4

C5

C6

After Re - Charging OCV C1 C2 C3

CCV C4 C5 C6

2 END Voltage on LOAD Tester Test in Vehicle :1. Voltage at Battery Terminal with all Constant loads 1. Voltage _________ V 1. Current to be +ve. 4 ON @ Engine Idle rpm. Specify Idle RPM:______________ 2. Current _______Amps 2. Current to be taken at the Pos. Cable. E. Observations / Investigation of complaint by OE Dealer

F. Decision / Remark by Exide Service Engineer

(Name & Signature of SE) - Date: _______________