FSC /.

ASC Location : Mira Road (East)

Current Defect Symptom : NO PICTURE CLEAR

In case of Repeat Repair, mention earlier repair details with claim number & date of repair
Claim No. Date Nature of complaint Repair
date
Repair details
4172115100 17.04.2014
2nd Repair
3rd Repair
Qty Value-INR
1 5,127.50

If part is SNA / DNA , mention part no. & Description below
0 Sign of ASC In-charge Date

Replace unit Refund money
Returned unit to be made as
Returned unit to be sold as
Returned unit to be sold as
Returned unit to be scraped
Remarks
of ASC
Manager:
1st Repair
DOA CASE
DELIVERY IS TOO LATE
Function
Action on returned unit
In case repair cost is very high, mention exact cost of repair
Packing condition Accessories
Appearance
Grading Guidelines for Technical Return
Spares / Accessories Required to Complete the Job
Enter Defect code in the relevant box given below
BN07-01232A
Description Part Number
LCD PANEL
NEED TO CHANGE LCD PANEL NO PICTURE CLEAR
Name & Address of Customer Model No : LS23C350HS/XL
O/W
Date of Purchase: 13.04.2014
KEN PLUS ,LAXMI BLDG 390-E GROUNG
FLOOR OPP SWASTIK CINEMA ,
LAMINGTON ROAD MUMBAI -400004,
23827657/ 66355908
FSC / ASC Name : Core Computers
W
Name and Address of Dealer
Mr. AMIR S ABBASI ,SUPAR
PALACE, P I 302 SHEETAL
NAGAR,MIRA ROAD (E), 401107
THANE ,
9833099593,7506293121,9769844
813
Serial No: ZY7VHMCD700441D
Claim No:4172115100
Repair
FSC / ASC CODE : 3335025 SIGNATURE
BRANCH : MUMBAI BRANCH AUTHORIZATION No.
REPORTING DATE : 17.04.2014
P002
D011
AC01
TL33
A
B
C
D
Rs 5,127.50