Queue no.

Motorcentral Sales Corp./Star Honda

Date: CSR No.:

NEW CUSTOMER EXISTING RECORD

Branch Address - Tel no. and Cell no. (please indicate name, address, (please indicate customer’s
Shop Service Form (SSF) contact and motorcycle info) name only)
Customer Name: Model: Plate No.:
LAST NAME FIRST NAME M.I

Address: Mileage: Frame No.:

HOUSE/UNIT NO. VILLAGE/SUBDIVISION BRGY/BARRIO CITY/MUNICIPALITY/PROVINCE

Tel./Mobile No.: Coupon No.: Control No. Date of Purchase: Engine no.: VIP no.:

Estimated Service Time: Remarks: Schedule of Maintenance/

Next Service Period:
KM/Mileage Date/Day/Period

Service Request Labor Cost Remarks Service Code Service Request Labor Cost Remarks Service Code
Change Oil Minor Top Overhaul
Minor Tune Up Major Top Overhaul
Major Tune Up Engine Overhaul
RP - R - C PARTS LABOR REMARKS/ RP - R - C PARTS LABOR REMARKS/
ITEM/PART NO. ITEM/PART NO.
Replace Repair Clean COST COST Service Code Replace Repair Clean COST COST Service Code
Engine Oil Left Winker Bulb (rear)
Engine Oil Filter Right Winker Bulb (rear)
Gear Oil Choke Cable
Tappet Cap O-ring Throttle Cable
Timing Hole Cap O-ring Brake Cable
Drain Plug Washer
Gasket Cylinder Cover
Gasket Packing
Spark Plug
Gasket Cylinder
Gasket Cylinder Head
O-ring Intake Manifold
Valve Stem Seal
Gasket R. Crankcase
Gasket L. Crankcase
Gasket Oil Filter
Piston
Piston Ring
Cam Chain
Cam Sprocket
Cam Chain Guide Roller
Cam Chain Tensioner Roller
Camshaft
Intake Valve
Exhaust Valve
Air Filter Element
Ball Weight
Belt Drive
Brake Shoe
Brake Pad
Head Light Bulb
Tail Light Bulb
Left Winker Bulb (front)
Right Winker Bulb (front)

Note: 5. If customer’s representative will claim the unit, the claim is verified to
1. For major repair service, hidden damages are not included in the estimate. customer via SMS or phone call and the following requirements are
2. Additional parts, service and cost are subject to customer’s approval presented: Authorization Letter, Valid ID of Representative, Official
3. Customer will be advised via SMS or phone call if service has been Receipt (if any) and Parts Cash Invoice (if any)
completed.
4. Customer’s valid ID must be presented upon claiming the unit
6. Customer will be charged fifty pesos (₱50.00) per day for motorcycle unit
that is not claimed within seventy two (72) hours upon completion of the
if
major repair service.

Labor Total Remarks/Additional:

Parts Total
Grand Total Mechanic/Service Receptionist Stock Custodian Customer Signature