OEM Logo
[brand_name]
GSTIN - [dlr_gst]
[dlr_adrs],
[dlr_loc] - [dlr_pin].
Mobile No. - [dlr_phno]

Warranty Claims
W / Cl No. : [wc_no]
TaxInvoice No. : [ti_no]
New TaxInvoice No(Partial Rejected Claims) : [new_ti_no]
Dealer Name : [dlr_name]
Type of failure : [tof]
[GwReasonTr] [GwReasonTrComma] [GwReason]
W / CL Date : [wc_date]
TaxInvoice Date : [ti_date]
New TaxInvoice Date : [new_ti_date]
AO Name : [ao_name]
DealerCode : [dlr_code]
[GwShareTr] [GwShareTrComma] [GwShare]

Tr. Sr. No. : : [chasis_no]
Invoice Date : : [inv_date]
Customer Name: : [cust_name]
AWDD Date : [awdd_date]
Operation at the time of failure : [oatof]
Dt. Of Complaint : [cmpl_date]
Customer Phone No : [cust_phno]
EngineSrNo : [eng_no]
Invoice No: : [inv_no]
Model : [model]
Hours : [hrs]
Job Card No : [jc_no]
Dt. of Repairs : [dor]
[cust_cmplHeading] : [cust_cmpl]
Dealer's observation : [dlr_obsrv]
Action Taken / Special Comments : [actn_tkn]

Parts Details
[parts]
Sr. No. Part No. Part Desc. Qty Amount(Rs.) Make Code Defect Code FOC
Labour
[labours]
Sr. No. Labour Code Description Lab Amt(Rs.) Defect Code Make Code
LR Details
LR NO Transporter's Name Receipt Date LR Date No of cases Claim Status
[lr_no] [transporter] [rcpt_date] [lr_date] [noc] [claim_status]
[claim_status] Details
[claim_status] By [claim_status] Name [claim_status] Remarks [claim_status] Date
[appr_by] [appr_name] [appr_remarks] [appr_date]