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
