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Details of Repair, if any_____________________________________________________________________________
Note:
Please contact nearest respective authorised battery dealer for details immediately after purchase of
vehicle.
Name of Dealer & Code :____________________________________________________________________
____________________________________________________________________________________________
Date of claim :________________________________________________Battery Type :_________________
Serial No. :__________________________________________________Date of Fitment :________________
TO BE FILLED IN BY BATTERY DEALERS / DISTRIBUTORS
IN CASE OF CLAIM
# Claim Accepted
## Claim Rejected
Failure Mode (Please tick as applicable)
• Loose connection
• Overcharge / Undercharge
• Internal Short
• Reverse Charge
• Plate Shedding
• High Specific Gravity Electrolyte
• Intercell Connection
• Electrolyte Contamination
• Does not Hold Charge
• Electrolyte Level not Maintained
• Wrong Assembly
• Left Lying Idle
• Wrong Application
• Terminal Corroded
Summary of Contents for GT110X BS VI
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