SR.
CUSTOMER DETAILS
Customer Name
Udaypur distillery pvt .ltd
Card No:
E-Mail:
Ph. 9855022371 Mobile: 9855022371
VEHICLE DETAILS
| VIN: | MALC841CLJM087446 |
| MAKE: | Hyundai |
| MODEL: | Varna |
| COLOUR: | WHITE |
| CHASSIS No.: | G4FGJU468625 |
| REGD. No.: | BA 20CHA 5122 |
| KMS: | |
| SALE DATE: |
RO NO:
RO-0438
RO DATE & TIME:
21-08-2026 14:51
BS: 2083-05-05 09:06
BS: 2083-05-05 09:06
PROMISED DATE & TIME:
21-08-2026 14:51
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Accident
SR.
PART NO
PART NAME
QTY
1
86614-H6000
BRACKET ASSY-RR BUMPER SIDE MT
1.00
2
86613-H6000
BRACKET-RR BUMPER SIDE MTGLH
1.00
3
86610-H6010
COVER-RR BUMPER
1.00
PMS REMARK
Tech/F.S.Sig.
Krishnmohan
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: Krishnmohan
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: