SR.
CUSTOMER DETAILS
Customer Name
Sanima bank ltd
Card No:
E-Mail:
Ph. 9845493244 Mobile:
VEHICLE DETAILS
| VIN: | M3jmtb15sgd29091 |
| MAKE: | Suzuki |
| MODEL: | Wagonr |
| COLOUR: | |
| CHASSIS No.: | K10cn874889 |
| REGD. No.: | B.p-01-033 cha 0176 |
| KMS: | 20030 km |
| SALE DATE: |
RO NO:
RO-0379
RO DATE & TIME:
09-08-2026 16:55
BS: 2083-04-24 11:10
BS: 2083-04-24 11:10
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
16510M65L10
FILTER ASSYOIL
1.00
3
13780M81R10
ELEMENTAIR CLEANER
1.00
4
95850M66RC0
CABIN AIR FILTER IGNIS
1.00
5
15410M68P00
FILTER FUEL
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: 24530 km
DATE: 09-Dec-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Balram chaudhary
Time In: 10:10 a.m.
Time Out:
Supervisor's Signature: __________
Time In: 10:10 a.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: