Outward Challan

RASHI PERIPHERALS LIMITED
CIN:U30007MH1989PTC051039

(Repair/Replacement Memo)

O/W Ch No. :

O/W Date :

Customer Code:

I/W Ref Detail

I/W Challan No :

I/W Date :

Customer Name :

Customer Address :

City :

Pincode :

Mobile :

Telephone :

Email ID :

Received Details				Replace/Return Details
Notification No	Product Code	Qty	Sr #	Product Code	HSN Code	Qty	Serial No	Price	Warranty Date
							Total

# The Material is Repaired/Replaced Free of Cost. Total Value for Transit Purpose
# Please check Material before Leaving Counter for damage, No Claims will be entertained afterwards


Receiver Signature	Authorised Signature