Company Name: Document No.

አላጌ ግብርና ቴክኒክና ሙያ ስልጠና ኮሌጅ

OF/ALATVTC/BS/024
Alage ATVT College
Title Issue No. Page No.:
የተሸከርካሪዎች የውስጥ ጥገና መጠየቂያ ቅጽ 1
Page 1 of 1
Vehicle Repair Request form

ቀን፡ ----------------------------
የጥ/ፎርም የተሞላበት ሰዓት፡ ----------------------------

የአላጌ ግ/ቴ/ሙ/ት/ስ/ኮሌጅ የተሸከርካሪዎች የውስጥ ጥገና መጠየቂያ ቅጽ

ለተሸ/እር/ማ/ጥገና ቡድን የፈቀደው ኃላፊ ስም -------------------------------

ጥገናውን የጠየቀው አሽከርካሪ ፊርማ -------------------------------
ስም -----------------------------
ፊርማ --------------------------
የተሸከርካሪው ዓይነት --------------------- የሠሌዳ ቁጥር ----------------- ሞዴል -----------------

1. -------------------------------------------------------------------------------------------------------------
2. -------------------------------------------------------------------------------------------------------------
3. -------------------------------------------------------------------------------------------------------------
4. -------------------------------------------------------------------------------------------------------------

ጥገናው እንዲከናወን የፈቀደው የጥገና ቡድን አስተባባሪ ስም፡ -------------------- ፊርማ፡ --------
ጥገናውን እንዲያከናውኑ የተመደቡ ባለሙያዎች
1. --------------------------------------------------
2. --------------------------------------------------
3. --------------------------------------------------

መጠገኑን ያረጋገጠው ኃላፊ ስም፡ -------------------------------------------- ፊርማ፡ -----------------

የተረከበው ሾፌር፡ ------------------------------------ ፊርማ፡ ---------------- ቀን፡ --------------------

PLEASE MAKE SURE THAT THIS IS THE CORRECT ISSUE BEFORE USE