SR.
CUSTOMER DETAILS
Customer Name
DILIP SUN CHANDI PASAL/LI MOTORS
Card No:
E-Mail:
Ph. 9811109843 Mobile:
VEHICLE DETAILS
| VIN: | MALPA812LTM304903 |
| MAKE: | Hyundai |
| MODEL: | Creta |
| COLOUR: | |
| CHASSIS No.: | G4FLSV260101 |
| REGD. No.: | B.p 01 (034 cha 0107) |
| KMS: | 958 km |
| SALE DATE: |
RO NO:
RO-0103
RO DATE & TIME:
22-05-2026 02:01
BS: 2083-02-07 20:16
BS: 2083-02-07 20:16
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Camera fitting
SR.
PART NAME
QTY
1
Scrup
16.00
PMS REMARK
Tech/F.S.Sig.
Balram chaudhary
OTHER OBSERVATIONS
EF
| Service Booklet | ✓ |
| Spare Wheel | ✓ |
| Jack & Handle | ✓ |
| Toolkit | ✓ |
| Mats | ✓ |
| Mud Flaps | ✓ |
| Stereo | ✓ |
| Clock | ☐ |
| Wheel Cover | ✓ |
I hereby authorize the above work to be done with necessary Material & Additional work if required shall also at my cost.
Customer's Signature
Customer's Signature
On completion of above work, I have taken the trial to my vehicle and satisfied with the work done.
Signature __________ Date: __________
Authorised Signatory
Signature __________ Date: __________
Authorised Signatory
DELIVERY ONLY ON ACCEPTANCE OF CASH/DO OR P.O. SHOULD BE IN THE NAME OF
SANIYA ENTERPRISES PVT. LTD.
SANIYA ENTERPRISES PVT. LTD.
Mech's Name: Balram chaudhary
Time In: 1:34 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 1:34 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: