0% found this document useful (0 votes)
236 views1 page

Customer Vehicle Repair Request Form

Uploaded by

bajajlubango
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
236 views1 page

Customer Vehicle Repair Request Form

Uploaded by

bajajlubango
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

I.P.

S VISAO- Lubango Model : Repair Type :


Lubango JOB CARD Reg No. : Date & Time In :

Job Card Number Date:

Customer Name : Contact No. : E-Mail :


Address :
Chassis No. : Engine No : Date of Sale : Kms Covered :

CUSTOMER REQUEST FS 1 2 3 U/W PS Paid Job QRC REPEAT ACCIDENT MISC.


Reception Report Defect Customer Voice (as explained by customer) :
Damaged (D)/ Scratches (S)/ Missing (M) Electricals
(Y/N)
PROBLEM REPORTED BY ACTION TAKEN IN
SN CUSTOMER SA'S OBSERVATION SHOP FLOOR CHARGES

Petrol Tank 1
Level of Petrol
Battery Sr Number Key Number JOB START TIME ADDITIONAL JOB INFORMED TO CUSTOMER YES NO LABOUR
JOB FINISH TIME
LAST TWO VISIT DATE Value Added Services Charges
(Y/N) SA Name & Sign

S.N. Date Kms Mechanic MRTB


1 Chain Cleaning Technician Name
2 Battery Charging
Veh Polish F.I Name & Sign
Outside Labour
Shock
EngineGas
Oil Fill
Top Up/Rep
Customers Sign
Information given above is correct.
I have accepted terms & conditions.
Estimated Delivery Estimated Cost :
Date & Time

Terms & conditions: VEHICLE ACKNOWLEDGEMENT


•Please remove all valuables/key chains etc Job Card Number Estimated Cost
•All vehicles kept, stored in our workshop or driven by our staff Reg No. Estimated Delivery Date &Time
areat owner’s risk. Customer Name SA Name
•Mode of payment cash. Taxes extra as applicable.
Phone No SA Contact Number
•Any additional
charged extra. repairs done in workshop or outside will be Chassis No Policy No.
Model Campaign Name
Date
Effective From
Working hours :07 AM TO 3.30 PM. Effective To

Weekly Off : SUNDAY

You might also like