TEKN K SERV S RAPORU FORMU

TAR H:…............………………….................... BAKIM SÜRES:.................................................................

ULA IM EKL :…...………………................... BÜRO ÇIKI /VARI SAAT :.....................................................

RAPOR TÜRÜ FATURA TAR H :....................................................................

E T M RAPORU: GARANT SÜRES B T TAR H :............................................
BAKIM RAPORU: BAKIM SÖZLE MES : VAR YOK
ARIZA ONARIM RAPORU: BAKIM SÖZLE MES BA LANGIÇ/B T TAR H :.....................
LETMEYE ALMA RAPORU: BAKIM BEDEL :......................................................................
ARIZA TESP T RAPORU: ARIZA ONARIM BEDEL (Y.PARÇA HAR Ç):..............................

MÜ TER N N

ADI:……..……………………………………………………………………………………………………..........................................................................
ADRES :…………………………………………………………………………………………………………....................................................................
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TEL.NO:…………………………………………………………………………………………………………......................................................................
LG L :…………………………………………………………………………………………………………….....................................................................
NOT:

S STEME A T C HAZLAR:
Cihaz Tipi Kod No Seri No Adet
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B LD R LEN ARIZA:………………………..…………………………………………..……………………………………………….............................................
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ARIZANIN B LD R LD TAR H VE SAAT:............................................................................................................................................................................
BAKIMA E L K EDEN GÖREVL /SÜRES : ...........................................................................................................................................................................

RAPOR:
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MÜHEND S/TEKN SYEN N: MÜ TER YETK L S N N:

ADI-SOYADI:……………………………….. ADI-SOYADI:………………………………..
MZASI:… MZASI:…