enquiry

LOAD DETAILS SURVEY

CUSTOMER:

LOCATION:

TEL:

FAX:

E-MAIL:

MAIN BREAKER:

NO OF WORKING HRS/DAYS:

EXISTING POWER FACTOR:

MINIMUM:

MAXIMUM:

Voltage	RN	YN	BN	TIME	CURRENT	R	Y	B	TIME
Minimum
Maximum

LOAD TYPE:	QTY	WATTS	REMARKS
			CUSTOMER:




			SIGNATURE:
			DATE:
			ESEI:




			SIGNATURE:
			DATE:

% OF LOAD:

A. LIGHTING

B. A/C

C. MOTOR

UNIT RATE:

SUGGESTED LOAD:

FOR ES~25

FOR CUSTOMER