SR.
CUSTOMER DETAILS
Customer Name
Ucha Adalat birgunj
Card No:
E-Mail:
Ph. 9767099435 Mobile: 9767099435
VEHICLE DETAILS
| VIN: | MA3RYHK1STA747036 |
| MAKE: | Suzuki |
| MODEL: | Brezza |
| COLOUR: | Silver |
| CHASSIS No.: | K15CN K095357 |
| REGD. No.: | Ba pr 01 034 cha 1297 |
| KMS: | 5182 km |
| SALE DATE: |
RO NO:
RO-0451
RO DATE & TIME:
25-08-2026 22:36
BS: 2083-05-09 16:51
BS: 2083-05-09 16:51
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
95850M85S00
FILTER S/ASSY
1.00
2
13780M76SA0
AIR FILTER
1.00
3
16510M65L10
FILTER ASSYOIL
1.00
4
5W-30
Engine Oil
3.50
PMS REMARK
Tech/F.S.Sig.
Baliram 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: 9682 km
DATE: 25-Dec-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter
Mech's Name: Baliram 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: