SR.
CUSTOMER DETAILS
Customer Name
PURSATAM PURBI
Card No:
E-Mail:
Ph. 9854025892 Mobile:
VEHICLE DETAILS
| VIN: | MA3NYFB1SJJ440142 |
| MAKE: | SUZUKI |
| MODEL: | BREZZA |
| COLOUR: | |
| CHASSIS No.: | D13A-5722969 |
| REGD. No.: | BA.20 CHA.8791 |
| KMS: | 133195 km |
| SALE DATE: |
RO NO:
RO-0706
RO DATE & TIME:
30-10-2026 15:44
BS: 2083-07-14 15:44
BS: 2083-07-14 15:44
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
DOOR GLASS REPAIR
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
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: