INSTALLATION REPORT

CUSTOMER CODE: INVOICE NO.: DATE:

CUSTOMER NAME:
FULL ADDRESS:

TEL: FAX: E-MAIL:

CONTACT PERSON : KEY OPERATOR:
OFFICE HOURS: WEEKLY OFF:

EQUIPMENT DELIVERED ON EQUIPMENT INSTALLED ON

WARRANTY EXPIRES ON OR No. OF COPIES WHICHEVER IS EARLIER.

COLOUR/MASTER
(Equipment warranted for a period of months from the date of installation) B&W/COPIES

MODEL : M/C Sl. No. :

OPTION (Only for Digital) : OPTION Sl. No. :
Scanner/Printer/Fax
ACCESSORY 1 (Name) : ACCESSORY 1 (Sl. No.) :

ACCESSORY 2 (Name) : ACCESSORY 2 (Sl. No.) :

ACCESSORY 3 (Name) : ACCESSORY 3 (Sl. No.) :

ACCESSORY 4 (Name) : ACCESSORY 4 (Sl. No.) :

SOLUTION 1 (Name) : SOLUTION 2 (Name) :

SOLUTION 3 (Name) : SOLUTION 4 (Name) :

CVT / STABILISER SUPPLIED: Y/N EARTHING AVAILABLE: Y/N SITE: A/B/C

OS:

DATE NAME OF PERSON TRAINED COPIER PRINTER SCANNER REMARKS SIGNATURE

This is to certify that the machine has been installed with all the accessories and is
working satisfactorily.

CONTACT PERSON'S NAME DESIGNATION

SIGNATURE WITH SEAL DATE

ENGR./TECH. NAME ENGR./TECH. No. ENGR./TECH. SIGN

16-F-01

RICOH INDIA LIMITED

Regd. Office : 1201, 1st Floor, Building No. 12, Solitaire Corporate Park, Andheri-Ghatkopar Link Road, Chakala, Andheri-East, Mumbai - 400 093
 SERVICE CALL REPORT
TERRITORY CODE CONTRACT DOCUMENT NO.
CUSTOMER NAME
ADDRESS

SO ID CALL DATE / TIME

D D M M Y Y H H M M

TELEPHONE NO
MACHINE SR NO. CALL AHEAD
CONTACT PERSON'S NAME CALL REASON
D D M M Y Y H H M M

DATE MAIN ACT INC SCA CODE ENG. / TECH. NO. TIME DESPATCHED
D D M M Y Y CODE TIME SYMPTOM D D M M Y Y H H M M
CAUSE ENG. / TECH. SIGN
TIME ARRIVED
ACTION
D D M M Y Y H H M M
MODEL
TOTAL CALL COMPLETED
D D M M Y Y H H M M

SYMPTOM METER READING

TOTAL

MFP CPR
CAUSE B/W FAX
A4 PRP
CPR
MFP
FAX
ACTION CL
PRP
PRI- MASTER
PORT COPIES

FOR BILLABLE CALLS ONLY

SPARE PART USAGE FOR APPROVAL/BILLING
ITEM PART NUMBER DESCRIPTION SEO NO. QTY. QTY. UNIT VALUE
NO. REQD. USED PRICE

Total
CUSTOMER APPROVAL MACHINE WORKING SATISFACTORILY Tax
NAME: SIGN: Call Charges
Tax Services
SIGN: DATE: Grand Total
STAMP: NAME:

16-F-02 FOR BILLABLE TRANSACTIONS ONLY: Customer may kindly note that this SCS duly signed and
stamped by you will be treated as a formal purchase order from you. If this does not meet your internal
procedural requirement, you may ratify by reissuing a separate purchase order.

RICOH INDIA LIMITED

Regd. Office : 1201, 1st Floor, Building No. 12, Solitaire Corporate Park, Andheri-Ghatkopar Link Road, Chakala, Andheri-East, Mumbai - 400 093