SERVICE FORM *Please complete the form below to submit your service request. Thank you. dr-asia.com | SERVICE FORMCLIENT'S NAMEADDRESSNO SIRI / MODEL INDOOR / MODEL OUTDOORTEL NOAREA / LOCATIONTYPE OF SERVICE- Select -GENERAL SERVICECHEMICAL SERVICEINSTALLATION AIRCONDWIRINGDLLWASHING MACHINEREFRIGERATORFREEZERCHILLERPORTABLE AIRCONDSITE VISITTYPE OF EQUIPMENT- Select -WALL MOUNTEDCEILING EXPOSECEILING CASSETTESDLLREFRIGERANT TYPE- Select -R22R32R410AR290R134R600DLLBRAND- Select -ACSONDAIKINYORKMEDIAPANASONICDLLCHECKLIST (MANDATORY)Receiver /display PCB /indicator- Select -PASSNOT PASSNO NEEDDrain line clean / flushing- Select -PASSNOT PASSNO NEEDCopper sensor / room sensor check- Select -PASSNOT PASSNO NEEDStarter contact check / DOL supply- Select -PASSNOT PASSNO NEEDRefrigerant leaks check / Snoop Leak / Two and 3 way valve- Select -PASSNOT PASSNO NEEDAir swing motor /vane motor- Select -PASSNOT PASSNO NEEDService/install /General Housekeping- Select -PASSNOT PASSNO NEEDNoise / Vibration /mounting check- Select -PASSNOT PASSNO NEEDTerminal wire / overload- Select -PASSNOT PASSNO NEEDREADING VALUEGas BeforeGas afterCapacitor Comp UFCapacitor Fan / Indoor /Outdoor UFComp running amp before / afterEND TIMEAttach a FileChoose File Team Name- Select -TEAM leader 1TEAM leader 2NaimRizalAsriMamuSukurRemark TeamTeam Signature Sign Here Customer NameEmail FieldCustomer Signature Sign Here Submit Form