ASUS Product Service Form

Product:
Date Time
2022/08/07 21:18 NoteBook (System)
CUSTOMER INFORMATION
Contact Name Company Name
MOAA JAY AR KUA
Phone
Phone Mobile Phone Address
MCN0CX11190649B MOAASUS-20222078
Email Zip Code

CUSTOMER INFORMATION 2nd priority to contact

Contact Name
Agree to do after service survey(including emailing,SMS message,and/or push notice through
ASUS app) to help enhance our service quality
Phone Mobile Phone Address

Email

Please ticket the preferred time, if Asus require to contact you by phone. (* base on service center operation period)
Working hours Mon Tue Wen Thu Fri Sat Sun
AM
PM
Night

ASUS PRODUCT INFORMATION

Model Purchase Date RMA Number
AS K3400P 11300H/0005DA/8G/US
PHAHN80172
Serial Number
MCN0CX11190649B Received By (Bug-no showing any engineer name)
Warranty Expiry(Reference)
In Warranty
IMEI Number 12-30-2023 12:00:00 Out of Warranty Control B

Visual Inspection (mark damaged area below) Reported Failure Symptoms

MEMO:
作業系統(Operation system)： :NO DISPLAY WITH LIGHT INDICATOR
異常軟體名稱/版本(Abnormal software/APP & Version)：

Accessories/Peripherals
CPU HDD Memory Battery
Other
Product Specification Not Checked

FOR OFFICIAL USE ONLY

Diagnosis Description Action Taken Inspection Charge

1 CID Judgement: (NO CID)

Service Charge
Parts
2 Replicate Issue: (NTF)

Labour
3 Pretest: (ADT and WTP) Action Taken By

Start Time Date

Diagnosed By
Total (GST included)

Spare Part Finish Time Date

CUSTOMER ACKNOWLEDGEMENT DELIVERY

I have already checked and confirmed that the above mentioned Delivered By
product is in good repair and without any abnormal appearance or
damage after this service for repair / inspection.
-Notebook appearance includes Cover, Bezel, LCD, Top Case
(included keyboard), Touch Pad and Bottom Case.
-Mobile appearance includes LCD module and Battery cover.
I have collected the above mentioned product and hereby agree to
close this service job.
Customer's Signature Date
Date

** Signature required- Please turn over to other side of this form and read the terms & conditions carefully and sign on the signature box if you agree to proceed with the service.

Repair Status Inquiry Please scan QR code and fill

up the after service survey.