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#687,16TH MAIN ,JAYANAGAR 4TH T BLOCK,BANGLORE-560041.

Tel:- 080-26651343
Website:-www.caryaire.com

PREE COMMISSION FORMAT / REPORT

TAG NO: _____________________________ COMMISSION DATE: ____________________________


DATE OF INSTALATION:____________________
LOCATION _________________
CUSTOMER NAME & ADDRESS: SITE ADDRESS:

CONTACT PERSON: CONTACT PERSON:


CONTACT NO: CONTACT NO:

DEALER NAME: FAN MODEL:_______________________________


SERIAL NO: _______________________________
DATE OF INVOICE:___________________________
DATE OF INSTALLATION:_______________________
MOTOR MAKE :___________________________
MOTOR SERIAL NO :_______________________
APPLICATION OF FAN :_______________________

LOCATION :

OBSERVATION:
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RATED SUPPLY VOLTAGE:_______V MOTOR RATED CURRENT:_______AMPS EARTHING CONNECTION:


SUPPLY VOLTAGE:_______V MOTOR ACTUAL CURRENT:_______AMPS YES NO
DESIGN CFM : ___________ ACTUAL CFM : _________________
DESIGN STATIC PRESSURE : ___________ ACTUAL STATIC PRESSURE : _________________

CANVAS CONNECTION PROVIDED? SINGLE SIDE BOTH SIDE NO CANVAS

TYPE OF INSTALLTION BRACKET ISOLATOR DIRECT DUCT

RECTIFICTAION WORKDONE / ACTION TAKEN : AT THE TIME OF COMMISSIONING


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POWER CONSUMPTION AT FINAL COMMISSIONING STAGE .
SUPPLY VOLTAGE:_______V CURRENT:_______AMPS
SUGGESTIONS TO THE SITE ENGINEER :

SERVICE / COMMISSIONING TECHNICIAN NAME AND


CUSTOMER SIGNATURE WITH PHONE NO SIGNATURE

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