sTanley
CIPTA MANDIRI
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Service Report
Distributor/Sorvico Enginoor Code \ Reg. No:
Ghent: Ap ai SPY mores: LH 27 1B. [chen Coe:
‘ies ange 3
Byun Nola” Sot 267, Bru No: Manufacturing Date? Comnlecloning Data?
Running Tine: Warranty Start on? Warranty Ende on! Warranty Cerificate?
ngineer Name? 7a: Distributor: Distributor Code
Requested Tine? Appined Tino Under Warranty Yee No
Son DPeclininarynwpecion ——_()Canmissoning CHRequeted Servis
ee: Routine Check OSafety Training Operation Training Other
Manton
Desenton
Service Content Result
r
2) awk Sel feb Vane Ae por
3 T
4
5
Reason OF
Malfunction
Part Replaced
Part Code Name Quantity Part Cole Name Quantity
Soures of Pars: CSany Overseas Overseas Subsidiary Distributor Ui Client Other
Customer Satisfaction Rating lent Comment:
Highly Satisfied-5 Satisfied-4 Average-3 Dissatisfied-2 Highly Dissatisfied-1
Professional Skills ( ) Service Attitude ()
Respond Sped () Soltion () -
Service Follows The Standard Service Procedure; .
‘Equip. Model | Bautp. No: ‘Manufactuting Dato! Commissioning Dato:
Running Time Warranty Starts on! ‘Warranty Ends on? Warranty Certificate ~
Engineer Namo? ‘Tel! Distributor Distributor Code
Requested Time ‘Appointed Tim Under Warranty: OYea No
‘Servi Preliminary Inspection OCommissioning
or DRoutine Check Safety Training Operation Training Other
‘Matfanetion
Description
Service Content Result
I
2 Gouke h(la es 9G. Fase
3
4
5
Reston Of
Malfunction
Parts Replaced
Part Code Name Quantity Part Code Name Quantity
Sources of Parts : Sany Overseas _D Overseas Subsidiary Q Distributor 0 Client DOther
Cistomer Satiafction Rating? lent C
Highly Satisfied-5 Satisfied-4 Average-3 Dissatisfied-2 Highly Dissatisfied-1
Professional Skills ( ) Service Attitude ( )
Respond Spee Solution ()
spond Speed ( ) ti A 1O|
Service Follows The Standard Service Procedure: O Yes ONo ‘Signature: ‘Tel:
Suggestions On Operation And Maintenance Departing Tine ‘Artving Tino?
Starting Tie: Finishing Time
Traveling Time ‘Traveling
Engineer ignatre iqatur Of Service Manager
Reason For Falling To Ariving on
Time
Teason For Falling’ Solving
Ordinary Problem Within 24 Hours
Reason Of Failing To Solving Major
Proto Within 48 Houre
Call (Hunting) : 021-658 90285 Fax. : 021 - 658 3:
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CIPTA MANDIRI
90 ev 202}.
Service Report
Rngin
Under Warranty:
Preliminary Inspection: Commissioning Requested Service
service Catgoey
ba {DRoitina Check CSefoty Training __CHOperation Training Other
Ntinaon
a
Service Content Result
Tout RRR eh’ Sen
2 Ninel Ped. —Ertrgonaiig
3 7
4
5
Reseon OF
Matinton
Fars Repleed
Part Gade Tame Geant Park Gade Name Quantity
Sources of Parts : JSany Overseas I Overseas Subsidiary Q Distributor 0 Client OOther
Caste Satfactin Rating: Client Comment
Highly Sotisfed's Satisfid-4 Average'3 Dissatsfed-2 Highly Dissatisfied
Profesional Sls) Service atiade() :
‘Respond Speed ( ) Solution () Auainrroww
Service Fellows The Standard Service Prospdure: Yer __ONo__| Signature: wy
‘Suggestions On Operation And Majptenay Departing Time Aving Tie
Staring Tine Fnihing Timo
Traveling Tine Traveling Distanee
Enginoer Signature: Alen —_| Signature Of Service Manager
Reason For Falling To Artiving on
Time
Reason For Falling To Solving
Ordinary Problem Within 24 Hours
Reason Of Filing To Solving Major
Problem Within 48 Hours
Call (Hunting) : Fax. 021 - 658 32881
Hp.
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CIPTA MANDIR]
Qe Nov Jody- Service Report
DistributoSorvice Rngineor Code Rog. No:
[Levine Cents ECL OUP Lenten: Client Coie
to
aun. NO? ‘Manufacturing Date Commtesoning Data
‘Warranty Enda on + Warranty Certifiente +
Distbutor: Distributor Code
Under Warranty: —_cIYes Ne Gz * =|
ate OPreliminary Inspection DCommissioning Requested Service
ss tery | Routine Check. DSafety Training DOperation Training Other
Maifneton
Desernton
Service Content Result
Gaui ol? wow shell {ir
2 fake spore Lge. ‘
3
4
5
Reason Of
Matfnction
Parts Replaced
Par Code Nan Quantity Pare Code Name Quantity
‘Sources of Parts : DSany Overseas (Overseas Subsidiary Distributor (Client DOther
‘Customer Satisfaction Rating Client Comment:
Highly Satisfied'5 Satisfied-4 Average-3 Dissatisfied'2 Highly Dissatisfied-1
Professional Skills ( ) Service Attitude ( ) C22
Respond Speed () Solution () ee
Service Follows The Standard Service Procedure: Yes No Signature Te
intedfince Departing Time: Arriving Time
Starting Time inishing Time
‘Traveling Time ‘Traveling Distance:
‘Gaal ‘Signature Of Service Manager:
Reason For Felling To Arriving on
Time
‘Reason For Falling To Solving
Ordinary Problem Within 4 Hours
Reason Of Failing To Solving Major
Problem Within 48 Hours
Call (Hunting) : 021-658 90235 Fax. : 021 - 658 92881
Hp. £0877 8170 6899
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CIPTA MANDIRI
20 hoy eds, Service Report.
Distrib Code Rog, Not.
ee Tam Tete ote
a] [Wwarany Wndson! | Warranty Cortina
[Dateiaer: | ature
Requested Tine Under Wareniy Ves ON IG
=)
DiretinjnaryIapecion (Commissioning Bequesed Bervice
Service Cueesry | cpRoutine Check DSefety Training Operation Training __ClOther
Nanton
Desrinton
Service Content Result
Parts Replaced
Part Code Name Quantity Part Code ‘Name Quantity
‘Sources of Parts : C'Sany Overseas (J Overseas Subsidiary ODistributor (Client Other
‘Gustomer Satisfaction Rating:
Highly Satisfied'S Satisfied-4 Average3 Dissatisfied-2 Highly Dissatisfied-1
Professional Skills () Service Attitude ( )
Respond Speed ( ) Solution) “2
Service Folloys The Standard Service Procedure: Yes__ONo Signature: ‘Te:
Departing Time ‘Arriving Time:
Starting Time Finishing Time
‘Traveling Time: ‘Traveling Distance
Signature Of Service Manager:
‘Reason For Fallihg To Ariving on
‘Time
Reason For Falling To Solving
Ordinary Problem Within 24 Hours
Reason Of Failing To Solving Major
Problem Within 48 Hours
Call (Hunting) +021 - 658 30235 Fax. 021 - 658 32881
Hp. +0877 8170 6899,
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CIPTA MANDIRI
Service Report
Diatributor Dintrbutoe Ce
Under Warranty: Yer
So Preliminary Tnepection ——_C)Commieioning ‘ttequested Service
ia 67 | CoRoutine check" Safety Training Operation Training (Other
Matfanetion
Description adh
Service Content Result
iT Gout: G1 te Tider
21 duos Fifer ow A Sob
3
4
5
Rosson OF
Matfnetion 4
Parts Replaced
Part Code Name Quantity Part Code Name Quantity
Sources of Parts : Sany Overseas (Overseas Subsidiary ODistributor 0 Client DOther
‘Cartomer Satisfaction Rating: Client Comment:
Highly Satiafed'5 Satisfed-4 Average-S Dissatisfied? Highly Dissatised-1
Professional Skills () Service Attitude )
Respond Speed () Sclution () Grau
Service Follows The Standard Service Procedure; __OYes__ONo ature Tek
Suggestions On Operation fad Maintenance Departing Time? ‘Arriving Time
Staring Time Finishing Time
Traveling Time? Traveling Distance:
Engineer Signat Signature Of Service Manager:
Reason For Falling To Arriving on
Time
Reason For Falling To Solving
Ordinary Problem Within 24 Hours
Reason Of Falling To Solving Major
Problem Within 48 Hours
Call (Hunting) +021 - 65830235 Fax. 021 - 658 32881
Hp. £0877 8170 6899
@ Dipindai dengan CamScannersTanley
CIPTA MANDIRI
gt nov 2023. Service Report
Distributor/Sorvico Enginoor Code : Rog, Noi
Cleat Ghent: (CL OLB ha tare! lent Cole
aire: Tulane, —Arrag. 0.
quip, Model No! ‘Manufacturing Dato Commissioning Date t
Running Time #2 varranty Starts on ‘Warranty Ends on Warranty Certificate
BrgineerName: 26 LIS Ditribtar: Distributor Cade
Requested Tie ‘Appanted Tine Under Warranty: —_O¥ew | No OO
(Preliminary Inspection OCommissioning DRequested Service
ee ee. Routine Check Safety Training Operation Training DOther
Manton
Desrption
Service Content Result
Cele wit Redd pise ngple =
2 if t “
310n ops. u
4
5
Reston OF
Manton
Parts Replaced
Park Code Name Quanity Part Gide Name Quantity
Sources of Parts CO Sany Overeas (Overseas Subsidiary (Distributor Client Other
‘Customer Seaton Rating Client Comment
Highly Sstisfied-5 Satisfied-4 Average'3 Dissatisfied-2 Highly Dissatisfied-1
Professional Skills) Savin Altitude ()
‘Respond Speed ( ) Solution () AMZBR
Service Follows Tag Standard Service Procedure: Yes ONo Signature: Tu:
‘Suggetions Op erraipyzind Naintonanco Departing Tine ‘Ariving Tine:
Starting Tine Finishing Time
D ‘Traveling Time: Traveling Distances
Balan).
agin Signature Of Senco Manager:
Reason For Falling To Arriving on
Time
Reason For Paling T Solving
Ordinary Problem Within 24 Hours
Reason OF Failing T Solving Major
Problem Within 48 Hours
Call (Hunting) :021- 65830235 Fax. : 021 - 658 32881
° Hp. £0877 8170 6899
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CIPTA MANDIR
2 Never}. Service Report
Chest Cota
Hiren ie ——t anyon Diata |
[ Warranty Radeon! | Wrrunty Cortifient 0
ane, ee Deut
DOommisioninn Cequeatad Borie
Service Cuteeory | Routine Chick Safety Training Operation Training Othe
‘Malfunction | |
beara el
Parts Replaced
Part Code Name Quantity Part Code ‘Name Quantity
‘Sources of Parts : (Sany Overseas (Overseas Subsidiary DDistributor O) Client QOther
‘Customer Satisfaction Rating: ‘Gent Comment:
Highly Satisfied-5 Satisfied-4 Average-3 Dissatisfied-2 Highly Dissatisfied-1
Professional Skills ( ) ‘Service Attitude ( ) =
Respond Speed ( Solution ( )
spond Speed ( ) el
Service Follows The Standard Service Procedure: ___Yes__(ONo. Signature: ‘Tek:
Departing Time ‘Arriving Time +
Starting Time : Finishing Time :
‘Traveling Time ‘Traveling Distance :
Signature Of Service Manager:
Reason For Falling To Arriving on
‘Time
‘Reason For Falling To Solving
Ordinary Problem Within 24 Hours
Reason Of Failing To Solving Major
Problem Within 48 Hours
Call (Hunting) : 021 - 658 90235 Fax. : 021 - 658 92881
Hp. 10877 8170 6899
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CIPTA MANDIRI
2B Nev why Service Report
Preliminary Inspection O Commissioning DiRequested Serviee
Service Catenor | Routine Check DiSefety Training Operation Training __ClOther
Matin
Deecrpton
Service Content Result
1 Tar faeh cols’ Lousy? /ATP LS Up
21h belousm —bausenite
3
4
5
Reasn Of
Malfunction
Parts Replaced
Part Gade Name Quantiy Part Cole Nome Quantity
Sources of Parts : DSany Overseas O Overseas Subsidiary ODistributor O Client Other
‘Castner Satisfaction Rating: Client Comment:
Highly Satistied-5 Satited-4 Average-3 Dissatisfed-2 Highly Dissatsfed-1
Professional Skills ( ) Service Attitude ( )
‘Respond Speed ( ) Solution ( ) Mn] &:
reo Def 0/ 83
Service Follows The Standard Service Procedure; ___O.Yes__OONo Signature: Ma:
Departing Tine ‘Aviving Tie
Stating Tine Finishing Time
Traveling Tine Traveling Distance
Signature Of Service Manager:
‘Reason For Falling To Arriving on
Time
Reason For Falling To Solving
Ordinary Problem Within 24 Hours
Reason Of Failing To Solving Major
Problem Within 48 Hours
all (Hunting) #021 - 658 30235 Fax. : 021 - 658 32881
Pp. 0877 8170 6899
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Nev LEV
nies
Service Report
Rey. Nov
Seine CNet Cade
‘irre a
[ean wat re Teg 8o= (GOT Of Yortirng et Coming Dt
pepsi [Warrnty Radeon: |
‘Warranty Certfiente
Distributor Cote
OPrelitinary Inepection
DRoutine Cheek
Matron
Deserition
Service Content Result
[Teoviy eG) tues shell U6 (bx
t ant bee
Matton
Para Raped
Pan Gale ia Cuanily Par Cale aa oy
Surcs of Pat Say Oversnn i Overacs Subidary CDisirbtar lent Other
Gases aan ng: iin Comment
Highly Satisfied-5 Satisied-4 Average’ Dissatistied-2 Highly Dissatisfied
Protea Sil () erin Atte)
Toon Spend) Soluon ()
Juviani70,w
Service Follows The Standard Serves Procedure: O'Yeu No __| Siar
: Depag Tine rving Tne
Starting Tine Fishing Tine
“Tevaling Tine evi Tian
Signature Of Service Manager:
‘Reason For Falling To Arriving on
Se ‘
Tess For Fling Sang
Ordinary Problem Within 2¢ Hours
Reason Of Fling To Saving Major
Pram Win Hour
Call (Hunting) #021 - 658 30295
Hp. £0877 8170 6899
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CIPTA MANDIRI
‘Commissioning Date:
Warranty Ends ont ‘Warranty Certifiente
Distributor : Distributor Code +
[Appntea tine Under Warraniyi_G¥es | _ONo (2
DrlininaryInepecton ——_QComilaioning ‘Requested Bervice
Service Caterory | CyRoutine Check Safty ining Overton Trnining __ClOther
Matfnetion
[Description
Service Content Result
1 [p= iy Dowd l hot Bucs
2 esd
8
4
5
Reston OF
Matfnction
Parts Replaced
Part Code Name Quantity Part Code Name. Quantity
‘Sources of Parts : CSany Overseas (Overseas Subsidiary Distributor (Client DOther
(Customer Satisfaction Rating Client Comment:
Highly Satisfied-5 Satisfied-4 Average-3 Dissatisfied-2 Highly Dissatisfied-1
Professional Skills ( ) Service Attitude ( )
Respond Speed ()
Service Follows'The Standard Servis Procedure: __.Yes___ONo__| Signature, yp/4y To:
Departing Time: Arvin Tie
Staring Time Finishing Tine
Traveling Tine Traveling Dinan
Signature Of Service Manager
Reason For Falling To Ariving on
Time
Reason For Falling To Saving
Ordinary Problem Within 24 Hours
Reason Of Falling To Solving Major
Problem Within 48 Hours
Call (Hunting) :021- 658 30235 Fax. : 021 - 658 32881
Hp. £0877 8170 6899,
@ Dipindai dengan CamScanner