SR.
CUSTOMER DETAILS
Customer Name
Green Lumbini enterprises
Card No: 0001328664
E-Mail:
Ph. 9851170333 Mobile:
VEHICLE DETAILS
| VIN: | G4FGHW489084 |
| MAKE: | Hyundai |
| MODEL: | Creta |
| COLOUR: | |
| CHASSIS No.: | MALC381CLHM284401*G |
| REGD. No.: | BA. 18 Cha 804 |
| KMS: | 70500 km |
| SALE DATE: |
RO NO:
RO-0073
RO DATE & TIME:
07-05-2026 22:28
BS: 2083-01-24 16:43
BS: 2083-01-24 16:43
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
engine oil foil filter air filter coolant
changed
SR.
PART NAME
QTY
1
Engine oil
4.00
2
FILTER-AIR CLEANER
1.00
3
FILTER ASSY-ENGINE OIL
1.00
4
Coolant
1.00
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: 75000 km
DATE: 06-Sep-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: BALIRAM
Time In: 1:03 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 1:03 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: