SR.
CUSTOMER DETAILS
Customer Name
Rajan raj keshari
Card No:
E-Mail:
Ph. 9811842825 Mobile: 9811842825
VEHICLE DETAILS
| VIN: | Malb351clllm13171 |
| MAKE: | Hyundai |
| MODEL: | I 10 |
| COLOUR: | |
| CHASSIS No.: | |
| REGD. No.: | BA-p-01-024ch 1855 |
| KMS: | 57131 km |
| SALE DATE: | 2026-05-08 |
RO NO:
RO-0074
RO DATE & TIME:
08-05-2026 12:02
BS: 2083-01-25 06:17
BS: 2083-01-25 06:17
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Break pad change and break shoe
SR.
PART NAME
QTY
1
PAD KIT-FRONT BRAKE
1.00
2
SHOE & LINING KIT-RR PARKING BRAKE
1.00
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 · Spark plugs · D bush · Brake inspection · Gear oil
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: