AC Installation / Service Report
COOLINDIA AIR ENGINEERING • Phone: 9842333888 • Email: trajan12.cia@gmail.com
Report No:
Customer Information
Customer Name *
Mobile Number *
Date *
Service Type *
Select
New Installation
Installation
Re Installation
Breakdown or Complaint
General Service
Water Service
Pumpdown Service
Preventive Service
Free Preventive 1st Service
Free Preventive 2nd Service
Free Preventive 3rd Service
Gas Re Filling R22/R32/R410
Compressor Replacement
AC Type
Select
Window
Split
Portable
Cassette
Packaged
Brand *
Select
Carrier
Daikin
Hitachi
Mitsubishi
Blue Star
Amstrad
Voltas
O‑General
Penasonic
LLoyd
Haier
Samsung
LG
Whirlpool
Other Brand
Model
Warranty
Select
Warranty
Out of Warranty
Indoor Serial No.
Outdoor Serial No.
Nature of Complaint
Select
No Complaint
PCB Complaint
AC Not Working
No Cooling
low Cooling
Out door Fan Not Working
Indoor Fan Not Working
Water Leakage
Noise Issue
Power Failure
Remote Not Working
Other
Technician
Select
Rajan
John
Anbu
Subhan
Emanuel
Hitachi
Daikin
Carrier Hi Tech
Carrier Cool air Sys
Mitsubishi
Amstrad
Blue star
Estimated Amount
Total Amount Received
Report Status
Open
Completed
Closed
Scheduled
On Process
Pending
Next Service (Months)
Select
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
Next Service Date
Attachment
Address
Complaint diagnosis/Spare Need/Replacement
Customer Signature
Technician Signature
Report No
Customer Name
Mobile Number
Date
Service Type
Next Service Date
Report Status
Technician
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