PERERA TYRE SERVICE (PVT) LTD
UNDER COMPLAINT TYRE/TUBE REPORT
 
Ref No Claim No Date of Claim Recieved Date
       
Dealer Customer
Code
Name
Address
 
 
 
       
Stk No Description Brand Serial No
       
Technical Observation :
       
N.S.D Refund %
Remaining %
Spec
 
Refund : / Rejected                        Commercialy: Allowed
       
Management Observation :
 
 
Enclosed Credit Note No :
Date : 1970-01-01   Amount Rs : 0.00
Date : 1970-01-01   Amount Rs : 0.00
Date : 1970-01-01   Amount Rs : 0.00
 
 
       
    Gate Pass Date:
    Return Date :
Note Well : The Company reserve the right to destroy Non Refundable rejected tyres/tubes that are not removed within 30 days from the date here of
     
    * This is a Computer Genarated report which does not carry a signature
2026-03-07