Equipment:

Model/type:

Serial number:

Contact person:

Phone number:

E-mail:

Date of purchase (installation) of equipment:

Date of equipment commissioning:

Place of installation (operation) of equipment: Select city Astana Almaty Shymkent Karaganda Aktobe Taraz Pavlodar Pavlodar Oskemen Kostanay Uralsk Petropavlovsk Kyzylorda Kyzylorda Aktau Kokshetau Taldykorgan

Address:

Date equipment breakdown:

General nature of the breakdown:

The list of actions of the technical staff of the Buyer / Customer / User, made to identify and / or partially self-repair defects:

Components (components, assemblies, parts, components) of equipment that require repair and / or replacement (according to the technical specialists of the Buyer / Customer / User):