SR.
CUSTOMER DETAILS
Customer Name
Dr Acchutalal Karn
Card No:
E-Mail:
Ph. 9845256740 Mobile: 9845256740
VEHICLE DETAILS
| VIN: | MA3NYFB1SGM180616 |
| MAKE: | Suzuki |
| MODEL: | Brezza |
| COLOUR: | Grey |
| CHASSIS No.: | D13A-2166634 |
| REGD. No.: | BAA 3495 |
| KMS: | 132560 km |
| SALE DATE: | 2026-09-18 |
RO NO:
RO-0537
RO DATE & TIME:
17-09-2026 22:21
BS: 2083-06-01 22:21
BS: 2083-06-01 22:21
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
SR.
PART NAME
QTY
1
ELEMENTAIR CLEANER
1.00
2
FILTER S/ASSY
1.00
PMS REMARK
Tech/F.S.Sig.
Samir
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.
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Samir
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: