SR.
CUSTOMER DETAILS
Customer Name
RASTRIYA BANIJIYA BANK LTD
Card No:
E-Mail:
Ph. 9843115381 Mobile: 9843115381
VEHICLE DETAILS
| VIN: | MALAN51CLBM871128 |
| MAKE: | Hyundai |
| MODEL: | I10 |
| COLOUR: | SILVER |
| CHASSIS No.: | G4LABM604121 |
| REGD. No.: | BA 9 CHA 732 |
| KMS: | 165685 km |
| SALE DATE: |
RO NO:
RO-0511
RO DATE & TIME:
13-09-2026 03:31
BS: 2083-05-28 03:31
BS: 2083-05-28 03:31
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Front windshield change
1
Servicing
SR.
PART NAME
QTY
1
GLASS ASSY-WINDSHIELD
1.00
2
FILTER ASSY-ENGINE OIL
1.00
3
Engine oil
3.50
4
FILTER-AIR CLEANER
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.
⚙ NEXT SERVICE DUE
KMS: 170185 km
DATE: 13-Jan-2027
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter
Mech's Name: Krishnmohan
Time In: 2:03 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 2:03 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: