SR.
CUSTOMER DETAILS
Customer Name
RAUTAHAT ZILLA ADALAT
Card No: 0001442980
E-Mail:
Ph. 9860457297 Mobile: 9860457297
VEHICLE DETAILS
| VIN: | MALB251CLMM196823 |
| MAKE: | HYUNDAI |
| MODEL: | Grand i10 Nios Magna |
| COLOUR: | GRAY |
| CHASSIS No.: | G4LAMM894138 |
| REGD. No.: | BA 2 JH 5613/ 01 025 CHA 4972 |
| KMS: | 43697 km |
| SALE DATE: |
RO NO:
RO-0606
RO DATE & TIME:
05-10-2026 18:15
BS: 2083-06-19 18:15
BS: 2083-06-19 18:15
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
SERVICING
SR.
PART NAME
QTY
1
FILTER-AIR CLEANER
1.00
2
FILTER ASSY-AIR
1.00
3
FILTER ASSY-ENGINE OIL
1.00
4
PAD KIT-FRONT DISC BRAKE
1.00
5
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: 48197 km
DATE: 04-Feb-2027
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: BALIRAM CHAUDHARY
Time In: 11:30 a.m.
Time Out:
Supervisor's Signature: __________
Time In: 11:30 a.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: