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Att. 3 Bicycle Service Request Form
Att. 3 Bicycle Service Request Form
Fill by Requester
/ / Requestor Sign :
Date Of Service Request :
Bicycle Plate Number :
Section/Department : /
Requestor Name/ID :
SM Requestor sign :
Description of Service Request :
Received Sign :
Fill By GA
Date SR Received : / /
SR Registerd Number :
SR Received by :
Fill by Bicycle Maintenance Coordinator (GA)
Item to be check & repair (Please Tick √): Result of Maintenance
General Appearance Handle bar grips
Reflectors, all sides Frame condition
Tires; tread & inflation Pedals & crank
Fenders & chain guard Chain condition
Seat, condition & height Brake operation
Wheels, spokes & alignment Kickstand
Baskets (Opt.) Lubrication
Handle Bars tight & level Painting
F2820-F0135-00
Name
Date
Fill By GA
/ / Received Sign :
Date BSR Received :
BSR Registerd Number :
BSR Received by : /