Title Page
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Name of Customer
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Location
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Date of Visit
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Check- In Time
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Check-Out Time
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Prepared by
Work Description
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Customer Complaint
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Equipment Brand
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Equipment Model
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Equipment Serial No.
Repairs Required / Done
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Work Performed
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Warranty
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Parts Required 1
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Parts Required 2
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Parts Required 3
Media
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Equipment Name Plate
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Picture of Equipment
Remarks
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Input Remarks
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Customer Feedback
Signature
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Customer Signature
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Technician Signature
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Service In- charge Signature