AC Load Bank Rental Enquiry Form

    1. Company Details

    Company Name:

    Contact Person:

    Designation:

    Email:

    Phone Number:

    Company Address:

    2. Project Information

    Project Name/Reference:

    Site Location:

    Site Access Hours (if any restrictions):

    Site Contact Person & Number:

    3. Load Bank Requirements

    Type of Load Bank Required:

    Capacity (kW/kVA):

    Voltage Rating:

    Frequency:

    Phase:

    Power Factor Requirement (if any):

    4. Rental Duration

    Start Date:

    End Date:

    Rental Duration (Days/Weeks/Months):

    5. Quantity Required

    6. Additional Services Required

    Other Requirements:

    7. Safety & Compliance

    On-Site Safety Requirements (PPE, permits, etc.):

    8. Notes / Special Instructions

    Preferred Mode of Contact: