You are on page 1of 1

Vehicle Maintenance Request Form

Employee Name Ahmad Osama Employee Card Number 1

Vehicle Make and Model Suzuki Alto Present Meter Reading 19482
Previous Maintenance Reading
Vehicle Registration Number ABX-330 13631
(In case of Routine Maintenance )
Difference in Reading 5851
Description of Maintenance:
Routine Maintenance Charges Any Other Maintenance
1) Oil Filter and Engine Oil Change 3418
2) Air Filter 2726
3) Service Charges 1000

Estimated Cost: 7144 (Rs.Seventy Seven Four Hundred and Forty Four Only.)

Note: Routine maintenance included Oil Change, Engine Tuning, Oil & Air Filter Change etc.

To be Filled By Director:
Please Make The Necessary Maintenance:

1) Immediately 2) After____________ kM 3) Claim from Insurance Provider

Remarks:

Submitted By Approved By

You might also like