G-64
Z-106164_EN ● 00
A
dditionAl
i
nformAtion
for
the
i
nstAller
Unit
Values/Comments
DHW tank (Y/N)? Type?
L
Pump(s) (Y/N)? Type?
• In which circuit(s)
• Chosen according to require-
ments for the appliance?
Controller
Appliance controller?
Other controller (Y/N)? Type?
Optional modules installed (Y/N)
• Type?
Optional items installed (Y/N)?
• Outdoor sensor (Y/N)? Type?
• Room unit(s) (Y/N)? Type?
• Others?
Miscellaneous
The end user has received all rele-
vant information (Y/N)?
The end user has received all rele-
vant documents (Y/N)?
Name
Date
Signature