Afrisolar Products Warranty Claim Submission Form

1. Claimant Information

End User Installer

Full Name

Company Name(if applicable)

Contact No.

Email Address

Address

2. Product Information

Inverter Battery

Model No.

Serial No.

Date of Purchase

Purchased from (Dealer/Supplier)

3. Installation Details

Date of Installation

Installed By:

Afrisolar Certified Other Qualified Proffesional

Installation Address

System Configuration:

Off Grid Hybrid Grid Tied

4. Issue Details

Date Issue Occurred

Description of Issue

Error Code(s)(if applicable)

Is the product currently operational

Yes No

5. Supporting Documents Checklist

6. Declaration

I confirm that the information provided is accurate and true to the best of my knowledge. I understand tat incomplete or inaccurate submisiions may result in delays or rejection of my claim.

Date

Initials