SR.
CUSTOMER DETAILS
Customer Name
Laxmi sunrise bank
Card No: 0010372334
E-Mail:
Ph. 9802799787 Mobile: 9802799787
VEHICLE DETAILS
| VIN: | MALB151CLPM462122 |
| MAKE: | Hyundai |
| MODEL: | Grand i10 |
| COLOUR: | |
| CHASSIS No.: | G4LAPM612615 |
| REGD. No.: | B.P 01-029 Cha 1048 |
| KMS: | 23113 km |
| SALE DATE: |
RO NO:
RO-0403
RO DATE & TIME:
12-08-2026 20:54
BS: 2083-04-27 15:09
BS: 2083-04-27 15:09
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
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
28113-B4000
FILTER-AIR CLEANER
1.00
4
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: 27613 km
DATE: 12-Dec-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Balram chaudhary
Time In: 2:11 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 2:11 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: