SR.
CUSTOMER DETAILS
Customer Name
TRUST MICRO INSURANCE
Card No:
E-Mail:
Ph. 9709026062 Mobile: 9709026062
VEHICLE DETAILS
| VIN: | MA3JDT08BRFD45621 |
| MAKE: | SUZUKI |
| MODEL: | ECCO VAN |
| COLOUR: | |
| CHASSIS No.: | K12NN4273283 |
| REGD. No.: | Ba pr 01 030 cha 7310 |
| KMS: | 36596 km |
| SALE DATE: |
RO NO:
RO-0551
RO DATE & TIME:
21-09-2026 12:21
BS: 2083-06-05 12:21
BS: 2083-06-05 12:21
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
QOUTATION
SR.
PART NO
PART NAME
QTY
1
58611M83B01
PANEL FRONT FENDER LH
1.00
2
35320M78L00
UNIT HEADLAMP LH
1.00
3
58511M83B01
PANEL FRONT FENDER RH
1.00
4
71711M78L01-5PK
BAR FRONT BUMPER (BLACK)
1.00
5
58100M83B10
PANEL FRONT HOOD
1.00
6
45202M83B00
ARM ASSY FR SUSPENSION L
1.00
7
35650M78L00
UNIT REAR COMB LAMPR
1.00
8
84511M78T00
GLASS,WINDSHIELD
1.00
PMS REMARK
Tech/F.S.Sig.
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 · Air filter · AC filter · Spark plugs · D bush · Brake inspection · Fan belt · Fuel filter · Brake fluid · Coolant
Mech's Name:
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: