AFTER SALES
SERVICE FORM
Hotline: 0813-6577-8899 | Website: www.kontraktorhvac.com
A. CUSTOMER INFORMATION
Company / Customer Name
Address
*
Contact Person
*
Phone / WhatsApp
*
Email
*
B. EQUIPMENT DETAILS
Product Type
*
Chiller
Split Duct
AHU
Cleanroom System
Other
Other
Brand / Model
Serial Number
Installation Date
MM slash DD slash YYYY
Installed By
*
C. SERVICE REQUEST DETAILS
Type of Request
Warranty Claim
Maintenance
Inspection
Repair
Other
Other
*
Problem Description
*
When did the issue occur?
Is the unit currently operating ?
*
Yes
No
D. SUPPORTING DOCUMENTS
Upload Documment
Proof of Purchase / Invoice
Installation Report
Photos / Videos of the Problem
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
File
Max. file size: 512 MB.
Post Custom Field
E. DECLARATION
I hereby confirm that the information provided above is true and accurate. I agree to the terms and conditions of the after-sales service from KONTRAKTOR HVAC.
Customer Signature:
Max. file size: 512 MB.
Date
MM slash DD slash YYYY
Δ