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CUSTOMER MAINTENANCE REPORTCUSTOMER NAME Address
Person in-charge Designation
DATE TECHNICIAN Time In Time Out
MAINTENANCE DETAILSComputer User Designation
MAKE: MODEL : SERIAL NO. :
Status of Maintenance: (please check)Repaired ( ) Unrepairable ( ) Pending for parts ( ) Under Warranty ( )
Pending parts for replacement Reason for replacement
DIAGNOSTIC DETAILS:
Technician’s Recommendation:
Person In-Charge Signature Technician Signature
CUSTOMER NAME Address
Person in-charge Designation
DATE TECHNICIAN Time In Time Out
MAINTENANCE DETAILSComputer User Designation
MAKE: MODEL : SERIAL NO. :
Status of Maintenance: (please check)Repaired ( ) Unrepairable ( ) Pending for parts ( ) Under Warranty ( )
Pending parts for replacement Reason for replacement
DIAGNOSTIC DETAILS:
Technician’s Recommendation:
Person In-Charge Signature Technician Signature
