PERSONAL DETAILS. APPLIANCE DETAILS ry a < im fa) | Ks 3 Fo EG rd ira Godrej & e Mfg. Co. Ltd. nates eee APPLICATION FORM —__ Customer Copy ‘Application No: Date: zl Co Contract | Sales Executive Code: Terttory TG Avptionce CUSTOMER DETAILS. | Name: Access City State PIN: | Telephone: ‘Mobile No E-mail id | APPLIANCE SALE Product Category : TD Retrigerator [Washing Machine Air Conditioner Di Microwave Oven Water Purifier Others ‘Type of Sale: iNew Sale CO Exchange Sale Model: Product Code: Capacity: Desired Delivery Date: | OLD APPLIANCE DETAILS Modeviake:_ Capacity/Goiour: ‘Age of Machine’... Working (¥/Ny Cabinet No. {if anyy : z CONTRACT SALE Opted For: Refrigerator Washing Machine Air Conditioner Microwave Oven Water Puritior Dothers Service PACKAGE! anna Contract Type: ClLabour Partial C) Comprehensive Contract Start Date: er. Paebeie Contract End Date: enn Contract Invoice would be sent to you separately within 30 days ‘i PAYMENT DETAILS PAYMENT MODE | Product Price (MAP) (Rs) - ~~ (Cash Cheque —_) DebitvCredit Card Ofer Price of Product (Rs): DONEr GEM ‘Advance Amount Collected (Rs.): Cheque No: | Balance Payment (Rs)... ao | Bank: Signature of Sales Executive: : . Signature of BOM: : REMARKS + Cash Payment towards avance/bocking amour not more than Rs. 1000 to be made on is appliaton form + For Demo as per your convenence nd cil on our Tl Free No: 1600209511 + HY you do not receive a cash receipt SMS within @ dys from you beakng the epplance, please contact Busines Oovelopment Manager at + For Datvaryconiacton, Signature of Customer: Date:Customer Copy ity of the contract starts after 21days of Application date and ends as per the term for which the contract is taken. cmalc secu Panscovered: 1. Compressor | 2. Sead System Jobe : Gas Cnaging, Evaporator, External Condens Suction Lina, Coplny, Oxer 8 ntiona! tems) Direct Cool lay Thammosttb). Host Free = Relay Toermestat Fan Matar, Ti, GrMetal Thermostat, Thame se Partenot covered: 1, Cabinet & Lee 2, Colored Components Plastic & Gise Pans 4. Door Gasket Asse 5. Ugh Bub © ga Suton | Serve Charges: 5. No Sarvice Gnargos fr the parts coverein tha contract | | 2 S056 cestunt onthe sevice change forthe tna coveresin the contract | “Transportation: 1. No Tepontaion prsiting to pats covered under contact 2. Transporation ape rte schol forthe pats not covered under contact Mandatory service: Numbar of mancatry vii for etgrater ~ One par yo ‘SERVICE + Oheck for Voltage, Curent & Eating atthe pint of Electric Supply to appliance » Chak for ranage system & ensure thal hee should not be any clogging. any, ‘ean the sam » Casing External Concenaor th to help of the bruh for etter condensation» Clann the compressors surroundings with tha help ofthe dusts + Checking forth connoctions tthe terminal ofthe compressor «Cleaning of water Evaporation Pan & wash tha sae as his coud ea t ba odeur* Check the uten& cof oycng of compressor with the lp of thermostat Measure the ferperatur in oeza & roigarator compartment svg th ptrmance ofthe pptence + Expian the varus temperatur zone which wlll the custome to sor heat ath piace ® Checkout for plate pats « Cnck the Door Agrment + Check th a leakage in the gasket seg & clesring of the same + Cieanng of Retgeator rh he Hep of he aud cleaner» Check fr ht bulb & tot switch functoning + Giving User tip for eter & effect performance WASHING MACHINE arts covered: 1. Semi Automat: Wath Netor, Spin Motor, Wash Timer, Spin Tinos, Mechanical Assy Buzzer, Capacitor, Below Assy. 2. Futy Automatic: Contl Card Notor Water Laval Senso, Mectanizal Assy. ONO Swe, Capacitor nat Valve, Geared Motor, Tanetormer, Suspension set Pannoteoveree: 1. Our Cabinet 2 Aesnele Conganents 9, Paso a Gass Pats Serve Charges: 1. NoSavice Chergea forthe parts covered nthe contact 2. 50% cscount on the gece charge fo the parts not covered inthe contract ‘Transportation: + No Taneporation pertaining to parts covered under contact 2. Transport a porate sted fre patrol evr wr contrat {Mandatory sence: Numba of mandstary ist for Washing Meche - One ar yes: SERVICE + Ohack for Voltage &Earthng atthe polnt of lactic supol to apotance * Dusting of extrral venison stots + Check venation sols as here shouts not be any logging» Check forchocking of vents or exhaust outs » Checking hat water or food remains don® eagp int tha vents + Cleaning ot rtemnel microwave ceviy + Check for pats pars for beskages ete» Check deer greet» Check gasket/choke cover for crack» leering of epplnce extemal with laud clearer * Check ght bulb & door iterook swith unctining ecko Parts covered: Pats. covered: Magnetron, Contol Panel, Control Car, Fan Meter, Capac Diode, Mlro Switch, Heats, Thermos, Timer, ransermer, 3. Paste & Glass Pons Service Cherges: 1, No Service Charges forthe pars coved into plan 2 50% dco eth sein charger pat rot coved tha plan 1. No Tangporteton arin to parts covered une contact 2. Transportation as per rate schedule forthe parts not covered under contact ‘Number of randstory ve for Washing Machine - Ona per yer. SERVICE * Chock for Voltage &Earthing atthe polt of lctrc supply to apptnce + Dusting of extrnal venation slots» Chock vttion sats a thor should rot be ary dogging + Chock fx chocking of ons or avhaust outa » Checking that water or foed remains don't seep int tho vans Ceaning cf internal microwave cavity ' Chacko: plastic pars or brankages ote. + Chack door algnment» Chack gaskalchoke cover for erack» leering of applance external with Squid leaner *Checkaht bu & door ietrock switch unctoning‘Customer Copy lhe Validity of the contract starts after 21days of Application date and ends as per the term for which the contract is taken. AIRCONDITIONER Panscovered: —1.Gompressor_—_2.Seaed System Jobs: Gas Charging. Suton Line. Caplan. rer SFandlonliten: Window Ai-Conaibanet- A/0 Bowe Motog Thermostat, Relay, Capsctor Selecta Switch, Osclatan Motor Spit A-Condtoner- Mor Incor unt, PCB, Contact, Tharmostt, Asay, Capacitor, Oslin Moloe Labour contact inluces ony labour work It doesnot cover any part | | ‘Punsnotcovered: 1 Outercabint-Cssing Cols Condesa Covad ndepaia) 2 PuborConporans a. Pasta Gas Fane | eee "Phamote hand @. chet eta Pars || Serica Charges: 1 No See Chae tte pts coved ne contact | 2 ton Sacaston besos cages rh pets nt vee nt cova i | Tanepotndor’ no tanspataton tang oar conred andrea 2 Maroon ofr ete Seat he patent covers under cont Mander series ant Sonic: au cttw os Ae Coon Ye pe yo Vi +1 Br SERVICE 1. Dry Sanice: + Cheek or the woking ofthe Ai-Conelioner bolo the ela of sevcng * ease Wage, Curent & Eating + Update the concn of the AG ta ‘a cuntamar «Clearing of ho AC wth he help of AirBlowe”parulatly ceolng col & cordance’ + Clening & Washo! Ar Fic + ting of Fan/ Blower Motor * Clasring of Front Gril + Cnecking of connections at ho terminals ofthe compresor« Chock for wing connectors» Chock the Working of Ki Conestoner ter the ‘soricings complete + Chack th cutin & cut-off eyeing of compressor with the halp of Thermostat + Masauting Vollage, curent & Earting fer completion of sonicing + Measure the Gril & return si temperate + Doatng tothe customer about the ect porarmance ol AC + Givng Uta Ups lor baltr 8 ofecne performance 2. a Servic + Check or the working othe Alone bal the stat of saneing + Measure Vote, cunt & Eahing + Update the cndtion ofthe AC tthe Customer «Washing of eoolng cok & Concansor with Mate or tearing afer emaval o motor Rausing « Clearing & Weshing ot Fier» Oing of Fan/Slower Nor ‘+ Onecking for compressr & Blower Mounting Grommts» Cleaning of Font Gl + Chacking of connections atte terinals ofthe cemeresser Check for wing ‘comectons «Check the working of Aé-Contoner after the sencing is complete « Check te cutin & culo cycieg of compressor with tho lp of Themmostat ‘Measure Voge, Curent & Earting after completon of servchg *Measue the Gill & relun ar temperature eDelaing to the customer about the efectvo performance of AC «Giving User tps fr better &afecveperormance Asie ata tise: Parts covered: 1, UV: Germicidal UV Lamp, Corto Card, Solenoid Valve, Siment Fier Cart (once per yey and Active Carbon Granules [once per year 2. RO: Pump, Slenca Vavo, Auto Fish, Low presse avitch, SMPS, Flow reste, Flot valve, Membrane housing, Pre fits, ‘Spun Carvidge once par yas), Sedimant Fir foce pe yey, Precaroan once per ye), Pest-carbon fone pa year), RO Mambrane (once per ya, Flow Restor once per year) Persnet covered: 4. Outer Cabinet 2, Aeshic Components Plas & Glass Parts 4. Rubber Components 5: Coloured Components 6. Tubing and Otho Nen Functions Comporenta Service Charges: 1. No Service Charges forthe pats covered inthe plan 2.50% scour othe senice charges forth paris ot covered athe plan ‘transportation: 1. No Transportation praning to pata covered under lan 2 For other pars not covered by san vanspetation as per out ate schecute Mandatory service: Number of Mandstoryvek for Wator Puri 1.2 Service pr year plan ~ Mandatory src wil be cari out ver ic othe. 2.4 Serve pr year plan ~ Mandatory service wil be cari out quaterty SERVICE ‘= Check Power upply othe uni tobe win the specified range & also Eating is avalaie » Chack rect leakages any» Check & epaco ry damaged 0 ‘ngs found Check & clesn Seciment titer & Carbon Granules Hovsng/Bow» Check & ClervReplace secon itr & Carbon Gracies * eek for roper {uncoring of pow & low swiches Check for proper unctoning of SV. Recty any leakage * Check & cleaeplace ln ine tr provided « Check for aroner funevoring of LEDS & warm up buzzer + Check fr ary damages to tabings + Check fontoning of UY Lamp «Glan intamas of WV chamber wih sof cloth * Chock tight tings of mounting screws «Check main power cord & interna wires for damages Ensure tat al tho coneciers en ho PCB & SV aren place & tht “+ Chock for damage othe on & back shel « Check & aust weter ow ate