Supports

Customer Service Report

CUSTOMER SERVICE REPORT

Customer Name :

Terms: INV : (COD) RM :
Phone No : Fax.No : Date :
Instruction from : Reference :
 
ITEM INFORMATION
Item Name : Brand : Model :
Problem
Reported :
Serial No :  
COLLECTION NOTE
Item collected : Yes : No : Machine only : Others :
Machine with Kord :
Complete Set With Accesories :
SERVICE DETAILS
Service Rendered / Item Delivered / Item Supplied : Defects found during inspection :
Engineer / Techicians's Comment : Remarks : (Date &Time)
Start of Service :
End of Service :
   
   
Status after service :  
Complete : Under Observation :  
Incomplete : Working Solution Provided :  
Pending for Spares :    
RETURN NOTE
Item Return? Yes : Parts received in good condition by :  
    Name :    
    Date :    
RETURN NOTE
I / We declare the above information is valid and correct.  
I / We agree to be bound by the terms and conditions or any amendment made there to.  
I / We satisfied with the above work / item has been carried out / received in correct and in good working order.  
Name :   Signature & Chop :    
Designation :  
Contact No :  
Date :  
 

 

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