SR.
CUSTOMER DETAILS
Customer Name
HOTEL PUJAN PVT. LTD
Card No:
E-Mail:
Ph. 9845027143 Mobile:
VEHICLE DETAILS
| VIN: | MBHEWB22SKH338253 |
| MAKE: | SUZUKI |
| MODEL: | BALENO 1.2 DELTA |
| COLOUR: | |
| CHASSIS No.: | K12MP1077192 |
| REGD. No.: | P3-01-022 CHA 7414 |
| KMS: | 26987 km |
| SALE DATE: |
RO NO:
RO-0623
RO DATE & TIME:
09-10-2026 15:00
BS: 2083-06-23 15:00
BS: 2083-06-23 15:00
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
SERVICING
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.
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter
Mech's Name: BALIRAM CHAUDHARY
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: