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Customer Information Report Form
Step
1
of
2
50%
Name:
*
Address of correspondence:
*
Contact Person:
Tel:
Fax:
Email:
Type of Use:
Domestic
Commercial
Industrial
End Uses of System
Bathing
Kitchen
Canteen
Any Other
Any Other
No. of Persons Using Hot Water:
Estimated Capacity requirement (litres/day):
Present Source Of Hot Water:
Electrical Geyser
Any Other
Any Other
If You Have An Existing Cold Water Tank, Then Capacity(litres):
Location
Ground
Roof / Terrace
Area Available (sq. mt):
Area Available for Installation:
Ground
Sloping Roof
Flat Roof/ Terrace
Do You Require An Electrical Back Up:
Yes
No
Do You Use Soft Water Or Hard Water:
Soft
Hard
When Do You Require The Installation To Take Place:
How Did You Hear about Us:
Proposed Capacity of Solar Hot Water (litres):
Proposed Temperature:
Whether Cold Water is Available for 24 Hours:
Yes
No
Size of Existing Hot Water User Piping:
Cold Water System Is Pressurised or Non-Pressurised :
Place of Installation of Solar Hot Water System :
Area Required for Installation Free From Shadow:
Yes
No
Beneficiary are Not Rental:
Yes
No
Regular Electric Supply Available:
Yes
No
Type of System:
Thermosyphon (without pump)
Forced flow (with pump)
Height of cold Water Tank:
Installed are Capable of Bearing the Load of System and Tank:
Yes
No
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FEEL FREE TO CALL US
020 66434111
GET IN TOUCH
AGNI SOLAR SYSTEMS PVT. LTD.
702 Onyx, North Main Road,
Koregoan Park, Pune 411001
info@agnisolar.com
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