SR.
CUSTOMER DETAILS
Customer Name
Sanjay kumar chaurasiya
Card No:
E-Mail:
Ph. 9845024625 Mobile: 9845024625
VEHICLE DETAILS
| VIN: | MA3NYFJ1SMF789416 |
| MAKE: | Suzuki |
| MODEL: | Brezza |
| COLOUR: | Red |
| CHASSIS No.: | K15BN4151832 |
| REGD. No.: | Ba.Pa-01 025 cha 8756 |
| KMS: | 106056 km |
| SALE DATE: |
RO NO:
RO-0286
RO DATE & TIME:
16-07-2026 06:05
BS: 2083-03-32 00:20
BS: 2083-03-32 00:20
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
SR.
PART NO
PART NAME
QTY
1
5W-30
Engine Oil
3.50
2
13780M72R00
.ELEMENT
1.00
3
95850M85S00
FILTER S/ASSY
1.00
4
16510M68K10
FILTER ASSY OIL
1.00
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.
⚙ NEXT SERVICE DUE
KMS: 110556 km
DATE: 15-Nov-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter
Mech's Name: Balram chaudhary
Time In: 5:35 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 5:35 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: