SR.
CUSTOMER DETAILS
Customer Name
PREETI PRITAM ETTA UDHAYG
Card No:
E-Mail:
Ph. 9855034014 Mobile: 9855034014
VEHICLE DETAILS
| VIN: | MA3NYFJ1SMK840516 |
| MAKE: | SUZUKI |
| MODEL: | BREZZA |
| COLOUR: | RED |
| CHASSIS No.: | K15BN4189217 |
| REGD. No.: | BAGMATI PARDESH 01026CH6954 |
| KMS: | 20804 km |
| SALE DATE: |
RO NO:
RO-0674
RO DATE & TIME:
25-10-2026 06:39
BS: 2083-07-09 06:39
BS: 2083-07-09 06:39
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
SERVICING AND WASHING
SR.
PART NO
PART NAME
QTY
1
13780M72R00
.ELEMENT
1.00
2
95850M79M00
CABIN AIR FILTER - CIAZ &
1.00
3
16510M68K10
FILTER ASSY OIL
1.00
4
5W-30
Engine Oil
3.50
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.
⚙ NEXT SERVICE DUE
KMS: 25304 km
DATE: 24-Feb-2027
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
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: