SR.
CUSTOMER DETAILS
Customer Name
Reliance supertech cement p ltd
Card No:
E-Mail:
Ph. 9706333453 Mobile: 9706333453
VEHICLE DETAILS
| VIN: | MA3NYFB1SJJ441841 |
| MAKE: | SUZUKI |
| MODEL: | BREZZA |
| COLOUR: | |
| CHASSIS No.: | D13A-5724672 |
| REGD. No.: | BAGAMATI BAA 8823 |
| KMS: | 28365 km |
| SALE DATE: |
RO NO:
RO-0542
RO DATE & TIME:
20-09-2026 12:03
BS: 2083-06-04 12:03
BS: 2083-06-04 12:03
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
95850M79M00
CABIN AIR FILTER - CIAZ &
1.00
2
13780M82P50
ELEMENTAIR CLEANER
1.00
3
5W-30
Engine Oil
3.50
4
42431M82P00
MOUNT STABLIZER
2.00
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: 32865 km
DATE: 20-Jan-2027
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter
Mech's Name: Balram chaudhary
Time In: 11 a.m.
Time Out:
Supervisor's Signature: __________
Time In: 11 a.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: