Hind Rectifiers Limited
An ISO:9001:2008 Company
Hind Rectifiers Limited

Service Request

Customer Name*
:
Site Address*
:
Telephone*
:
E-mail*
:
Contact Person
:
Equipment SL NO.
:
Equipment TYPE
:
Equipment RATING
:
P. O. Reference
:
Date on which Person Required
:
Confirmation of Service Charges
:
Spares (Pls. Specify if Required)
:
Service Requirement (Pls. Specify)
:
Security Code*
:
CAPTCHA IMAGE