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CUSTOMER COMPLAINT FORM
Name
*
OEM Name
Type of Prime Mover
Select
Steam
Diesel
Hydro
Gas Engine
Gas Turbine
Wind
Induction Motors
*
Rating (KVA)
*
Voltage..
Select Voltage..
415 V
3.3 KV
6.3 KV
6.6 KV
11 KV
13.8 KV
Other
Pf
Select Pf
0.01
0.02
0.03
0.04
0.05
0.06
0.07
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0.09
0.10
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0.36
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0.39
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0.41
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0.61
0.62
0.63
0.64
0.65
0.66
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0.69
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0.71
0.72
0.73
0.74
0.75
0.76
0.77
0.78
0.79
0.80
0.81
0.82
0.83
0.84
0.85
0.86
0.87
0.88
0.89
0.90
0.91
0.92
0.93
0.94
0.95
0.96
0.97
0.98
0.99
1.00
No. of Poles
4
6
8
10
12
14
16
Others
Others-Please enter
Machine No
*
Is the machine Commissioned? Yes
No
*
Date of commissioning
Nature of Complaint
*
Site address
*
Attach file
Contact Person
Name1
*
Name2
Phone1
*
Phone2
Working As
*
Working As