COMMISSIONING REQUEST FORM

Company Name: Site Cont. Person: Landline no: Mobile no:

Invoice No: Invoice date: Delivery Order no: Delivery Order date:

SNo	MANDATORY MEASURES	REMARKS (Yes/No)
1	Pipe connections to the pump set for Suction / Discharge
2	All Electrical connections up to control panel done
3	Electricity is present at site
4	Water is available at site
5	Float switch cable connected from pump panel to the tank

SITE LOCATION:

MAKANI NO:

Please specify any special requirements:

By signing this form, you confirm that the site is ready for Testing & Commissioning of the pumping system supplied by M.A.H.Y. Khoory & Co. LLC. In an unlikely event that our service representative has to return without completing the task due to any above mentioned requirements, our obligation of Free of Cost commissioning job is over and the succeeding scheduled visit shall be on chargeable basis with the cost Dhs. 500/- per visit.

Confirmed by:

Name & Signature:

Designation:

Mobile no:

Date: