45
Company service centre or its authorised service agent.
CUSTOMER COPY
Mr./Mrs./Ms
- - - --- --- -- --- --- -- --- -- --- --- -- --- -- --- --- -- --- -- ------ -- --- -- ----- --- -- -- --- --- --- -- --
Address
- - -- --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- ----- --- -- -- --- --- --- -- --
Telephone No.:
- - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Model Name
:
- - - --- ---- -- --- --- --- -- -- ------ --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Serial No.
:
- - - -- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ----- --- -- -- --- --- --- -- --
Date of Purchase:
- - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Cash Memo No.
- - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Dealer Name & Address
: - - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ------ --- -- -- ---- --- -- -- --- --- --- -- --
- - - -- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ----- --- -- -- --- --- --- -- --
==============================================================
Service Station Copy
Mr./Mrs./Ms
- - - --- --- -- --- --- -- --- -- --- --- -- --- -- --- --- -- --- -- ------ -- --- -- ----- --- -- -- --- --- --- -- --
Address
- - -- --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- ----- --- -- -- --- --- --- -- --
Telephone No
.:
- - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Model Name:
- - - --- ---- -- --- --- --- -- -- ------ --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Serial No.:
- - - -- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ----- --- -- -- --- --- --- -- --
Date of Purchase:
- - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Cash Memo No.
- - - --- ---- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- --- --- --- -- -- ---- --- -- -- --- --- --- -- --
Products Owned by the customer:
(
Please tick in the appropriate box
)
Washing Machine Refrigerator Color TV 100%ClothesDryer Dishwasher
Music System oven Toaster Grill 2 Wheeler Car Air Conditioner