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 • Does not Hold Charge
• Wrong Assembly • Left Lying Idle
• Wrong Application • Terminal Corroded
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