8 428 Baello Bldg. A. Mabini St., Brgy.

015, Caloocan City

(02) 285-1532 Telefax

SERVICE REPORT FORM info@velocityadvancedsolutions.com

DATE OF SERVICE November 20, 2019 TIME-IN SRF NO.

SERVICE ENGR. TIME-OUT Date Requested:

CLIENT Watsons Red Jewel Davao Bajada

: _________________________________________________________
CONTACT PERSON : _____________________________________

BRANCH : _________________________________________________________
PHONE NO. : _____________________________________________

ADDRESS : _________________________________________________________
MOBILE NO. : _____________________________________________

_____________________________________________________________________________________________________________
TYPE: CCTV AUDIO NETWORK STRUCTURED CABLING OTHERS ______________________

REFERENCE | PREVIOUS REPORT | SERVICE HISTORY:

SCOPE OF WORK | REPORTED PROBLEM | REQUEST: INVENTORY | CHECKLIST:

SERVER - Type: PC SA-DVR SA-NVR

Qty x Channel:
Storage:
Retention:
Monitor:

CAMERA - Type: IP Analog

DR | EQUIPMENT | ITEMS TO BRING: Qty x Type:

POWER: CPS _____________ UPS _____________

OTHERS:

FINDINGS | ACTIONS TAKEN

RECOMMENDATION/S

STATUS | REMARKS :

COMPLETED BACKJOB FOR OBSERVATION FOR QUOTATION FOR REPLACEMENT PEND

I acknowledge that all informations and services in connection with my concerns and/or request stated above have been duly addressed. Also, I read
and understood the findings, actions taken, and recommendations stated above.
CHARGE:
BILLABLE NON-BILLABLE WARRANTY WAIVED Signature over Printed Name / Date
428 Baello Bldg. A. Mabini St., Brgy. 015, Caloocan City
(02) 285-1532 Telefax
info@velocityadvancedsolutions.com