SR.
CUSTOMER DETAILS
Customer Name
Rajan raj keshari
Card No:
E-Mail:
Ph. 9811842825 Mobile: 9811842825
VEHICLE DETAILS
| VIN: | Malb351cllm113171 |
| MAKE: | Hyundai |
| MODEL: | I 10 |
| COLOUR: | GREEN |
| CHASSIS No.: | G4LALM741391 |
| REGD. No.: | BA-p-01-024ch 1855 |
| KMS: | |
| SALE DATE: |
RO NO:
RO-0303
RO DATE & TIME:
22-07-2026 00:09
BS: 2083-04-05 18:24
BS: 2083-04-05 18:24
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Mountain bush change
SR.
PART NO
PART NAME
QTY
1
55326-K6000
STOPPER-BUMPER
1.00
2
55326-K6000
STOPPER-BUMPER
1.00
PMS REMARK
Tech/F.S.Sig.
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:
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: