1
DateTime
*
Complaint No
*
Escalaa No
*
Company Name
*
Shop Name
GST NO
Customer GST No
Customer Name
*
Full Name
Address
*
Street Address
Street Address Line 2
Area
State / Province
Postal / Zip Code
Mobile No
*
Customer Mobile No
Customer E-Mail ID
example@example.com
Model
*
MX GPCi
Mx GT Karat
Mx GT Karat Pro
Mx GT Aura
Mx GT Aurum
Mx GT Aurum SDD
MX GT Desire
MX GT Desire Plus
Machine Model
Machine Seriel No
*
Manufacturer No
Maxsell/SRMax No
*
Maxsell No
Engineer Name
*
L-N
*
Customer Site Power Suplly
L-E
*
Customer Site Power Suplly
N-E
*
Customer Site Power Suplly
L-N
*
Customer Site Online UPS
L-E
*
Customer Site Online UPS
N-E
*
Customer Site Online UPS
L-N
*
Isolation Transformer
L-E
*
Isolation Transformer
N-E
*
Isolation Transformer
2
Software Version
*
Firmware Version
RTM No
*
RTM No
DSP Version
*
DSP Version
Sample Report
Customer Feedback
Customer Signature
Engineer Remarks
*
3
Voice Recorder
Engineer Mail ID for Your Report
example@example.com
Check List
Completed
Should be Empty: