SR.
CUSTOMER DETAILS
Customer Name
Jagadamba plastic industries pvt ltd
Card No: 0004018673
E-Mail:
Ph. 9801147340 Mobile: 9801147340
VEHICLE DETAILS
| VIN: | MALBM51BLKM725110 |
| MAKE: | Hyundai |
| MODEL: | i20 Active |
| COLOUR: | RED |
| CHASSIS No.: | G4LAKM327720 |
| REGD. No.: | PRADESH. 3-01-022 CHA. 3903 |
| KMS: | 93843 km |
| SALE DATE: |
RO NO:
RO-0734
RO DATE & TIME:
04-11-2026 23:22
BS: 2083-07-19 23:22
BS: 2083-07-19 23:22
PROMISED DATE & TIME:
ESTIMATION AMT:
NPR 10111.22
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
SR.
PART NO
PART NAME
QTY
1
28113-A0200
FILTER-AIR CLEANER
1.00
2
26300-02752
FILTER ASSY-ENGINE OIL
1.00
3
5W-30
Engine Oil
1.00
4
18827-09087
PLUG ASSY-SPARK
4.00
PMS REMARK
Tech/F.S.Sig.
Baliram
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: 98343 km
DATE: 06-Mar-2027
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Baliram
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.: B216
DATE: 06-11-2026
GP NO.:
DATE:
DATE: 06-11-2026
GP NO.:
DATE: