Edit RN-260924-0001

1 Customer Details

Customer Name * Phone Location Alt. Contact

2 Device Type

Phone Laptop Monitor Printer Other

Brand Model No. Serial No. Color Other (specify)

3 Condition When Received

Overall Condition

Good Fair Poor

Photos Taken

Yes No

Accessories Received

5 Problem Categories

6 Pickup / Drop-off Handover

Rider (Pickup) — Name Rider Number Pickup Date / Time Customer Signature (type full name)

I confirm the device condition and fault description above are correct at drop-off.

7 Workshop Check-in

Date / Time Received at Workshop Branch / Location Technician Assigned

8 Diagnosis & Customer Approval

Diagnosed Fault (may differ from reported fault) Parts Needed

Customer Approval

Signed Approved via Call/WhatsApp

Estimated Cost Approval Date

9 Repair Log

Date	Work Performed	Parts Used	Cost

Total parts/labour: 0.00

Repair Started Est. Completion

10 Quality Check

QC Technician Date Tested

Result

Tested OK Needs Rework

Warranty on Repair (days)

11 Payment

Amount

Method

Cash M-Pesa Card

Status

Paid Balance Due

12 Return / Delivery Handover

Rider (Return) — Name Rider Number Return Date / Time Customer Receipt Signature (type full name)

I confirm I have received my device back and am satisfied with the repair.

Repair Note · RN-260924-0001