SR.
CUSTOMER DETAILS
Customer Name
Balaji Agencies
Card No: 0001810470
E-Mail:
Ph. 9845228857 Mobile:
VEHICLE DETAILS
| VIN: | KMHJ3813SHU309577 |
| MAKE: | Hyundai |
| MODEL: | NEW TUCSON |
| COLOUR: | Pepper Gray |
| CHASSIS No.: | G4NAGU252922 |
| REGD. No.: | : Ba 16 Cha 5028 |
| KMS: | 91244 km |
| SALE DATE: |
RO NO:
RO-0355
RO DATE & TIME:
04-08-2026 12:12
BS: 2083-04-19 06:27
BS: 2083-04-19 06:27
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Washing
PMS REMARK
Tech/F.S.Sig.
Sambhu
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.
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Sambhu
Time In: 12:16 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 12:16 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: