DAIKIN AIRCONDITIONING INDIA PVT. LTD.

Out Of Warranty Claim Form

Branch WCF No. : Complaint Regn. No.: DEL11052017707342 Branch: DELHI

Dealer's Name Location City Person In-Charge Signature Date

Eco Digital Air Solution New Delhi Nagendra Maurya ( 3332 )
1. Final User
User: Company IL&FS ENVIRONMENT Tel. No.:
Customer Address: IL&FS ENVIRONMENT / 4TH FLOOR, GOPAL DAS BHAVAN, 28, / NEW DELHI 110001 / IN
IBase Address: EAST, EAST DELHI WASTE PROCEING, 30, EAST DELHI WASTE PROCEING, GAZIPUR-, 110096, IN
2. Product Type - Faulty Unit

Model Name: RC60PRV16 Mfg.No.: 15070

Defective Compressor Replaced Conf. Mfg. Routine Service Card
Model & Mfg. No No.: No.:

DAIPL Invoice No.: Date: Dealer Invoice No.: Date:

Warranty Start : Warranty End:

3. Parts Required
Item Parts Name Parts No. Quantity Service Order Number
10 COMPRESSOR S4901156 1.0 007003176330

*DAIPL Use Only

Faulty Location Code

Phenomena Code

4. History
Date of Commissioning Date of Failure

May 8, 2014 May 11, 2017

5. Details of Fault

Cause Category: Sub-Cause Category:

Subject: COOLING ISSUE

6. Power Supply Detail (Pls mark) ** If using a stabilizer

Generator Backup Hi-Low Cut off Function

Stabilizer (include SERVO) Time Delay Function

Scanner
Other Safety Device

7. Frequency (Pls mark)

During Commissioning
Under Generator Operation
Sometimes
After Power On
Others
8. Location (Pls mark)

Residence Restaurant
Normal Office Shop / Show Room
Computer Room Factory
Laboratory Bed Room
Hotel Room Others

DAIPL Use Only

Branch Recieved / Issued Date Signature-Service Person Incharge HO Reference No.