SR.
CUSTOMER DETAILS
Customer Name
LIC Nepal c/o Shambhu Chaudhary
Card No: 0004641128
E-Mail:
Ph. 9851365507 Mobile:
VEHICLE DETAILS
| VIN: | G4LASM603594 |
| MAKE: | Hyundai |
| MODEL: | Exter |
| COLOUR: | Atlas White |
| CHASSIS No.: | MALB181CLSM211427 |
| REGD. No.: | Bagmati Pradesh-01)034Cha-2450 |
| KMS: | 2014 km |
| SALE DATE: |
RO NO:
RO-0299
RO DATE & TIME:
21-07-2026 08:36
BS: 2083-04-05 02:51
BS: 2083-04-05 02:51
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
26300-02752
FILTER ASSY-ENGINE OIL
1.00
2
97133-C4000
FILTER ASSY-AIR
1.00
3
5W-30
ENGINE OIL
3.50
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: 6514 km
DATE: 20-Nov-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Balram chaudhary
Time In: 2:21 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 2:21 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: