Serial No:

Dealer Name & Address:

Customer Name & Address:

A. Vehicle Details

Original Warranty CardOriginal / Photo Copy of Vehice Service

Book

Ah Capacity

B. Battery Details

Brand

Mfg. Code

DesignationClaim Form Made By:

Ph. No:

E. Mail:

Complaint Date

Ph.No:

E. Mail:

OED SAP Code

Vehicle Make(Manufacturer)

Model:

OE MC DEALER CLAIM FORM - BATTERY (Ref: DCF-1A - MC/08)

Claim Form No:

Date

Date of Sale

Reg. No.

KMS Covered

Documents Enclosed

Complaint Details

Photocopy of RC book Original / Copy of Vehicle Sale Bill / Invoice

C. Customer Complaint: ( Please give the customer voice in words of the customer only)

Corroded Damaged Excess

Above MAX

Low below

MIN

SN PARAMATER SPECIFICATIONS

OCV C1 C2 C3 C4 C5 C6

CCV

OCV C1 C2 C3 C4 C5 C6

2

MEASURED VALUES

At time of receiptOCV 12.5V.

Sp.Gr. 1.24 - 1.25

(100% SOC)

Charging not reqd.

1

Container Electrolyte Level

Deformed

D. Battery Inspection Details

END Voltage on LOAD Tester

4

AppearanceCheck Terminals

Damaged

Test in Vehicle :1. Voltage at Battery Terminal with all Constant loads

ON @ Engine Idle rpm. Specify Idle RPM:______________

2. Current to be taken at the Pos. Cable.

OCV 12.3V.

Sp.Gr. 1.21 - 1.22

(80% SOC)

Charging Reqd.

OCV 12.1V.

Sp.Gr. 1.17 - 1.18

( 50% SOC)

Charging Reqd.

After Re - Charging

a) Battery Open Circuit

Voltage & Specific

Gravity in Each Cell

b) Close Circuit Voltage

(CCV)

E. Observations / Investigation of complaint by OE Dealer

F. Decision / Remark by Exide Service Engineer

(Name & Signature of SE) - Date: _______________

1. Current to be +ve.1. Voltage _________ V

2. Current _______Amps