Arıza Bildirim Formu

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						Tarih :.../...../.........
						
						
						 
						
						Teknik 
						Servis Arıza Bildirim Formu 
						<h2 style="MARGIN: 0cm 0cm 0pt">
						Müşteri Bilgileri</h2>
						
						 
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								Müşteri Adı  </td>
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								Telefon No </td>
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								Yetkili Kişi </td>
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								Fax No  </td>
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								E.Mail </td>
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								Web Adresi</td>
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								Adres</td>
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								İhbari veren </td>
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								Tel no:</td>
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						<h2 style="MARGIN: 0cm 0cm 0pt">
						
						Arızalı Cihaz Bilgileri</h2>
						
						
						Cihaz-1
						
						 
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								Markası</td>
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								Seri Numarası</td>
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								Cihaz  Aksesuarları</td>
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								Modeli</td>
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								Cihaz Arızası
								
								
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						ONARIM BİLGİLERİ
						 
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								Değişen ürünler</td>
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								Adet-mt</td>
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								b.fiyat</td>
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								tutar</td>
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								toplam</td>
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								Kdv</td>
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								Gene tutar</td>
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						<h6>
						Not 
						</h6>
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						<table class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; margin-right: auto; margin-top: auto; margin-bottom: auto" cellSpacing="0" cellPadding="0" border="1" id="table9" height="97" width="98%">
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						              TESLİM EDEN 
						TEKNİKER                                                                             
						TESLİM  ALAN
						 
						<div align="center">
						<table class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt; margin-right: auto; margin-top: auto; margin-bottom: auto" cellSpacing="0" cellPadding="0" border="1" id="table10" width="98%">
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								<td style="width: 261pt; height: 103.75pt; border: 1pt solid windowtext; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0cm; padding-bottom: 0cm; background-color: transparent" vAlign="top" width="348">
								
								
								 
								
								
								İsim  : 
								
								
								 
								
								
								 
								
								
								 
								
								
								 
								
								
								İMZA
								
								
								 
								
								
								 
								
								
								 
								
								
								 </td>
								<td style="width: 270pt; height: 103.75pt; border-left: medium none #d4d0c8; border-right: 1pt solid windowtext; border-top: 1pt solid windowtext; border-bottom: 1pt solid windowtext; padding-left: 5.4pt; padding-right: 5.4pt; padding-top: 0cm; padding-bottom: 0cm; background-color: transparent" vAlign="top" width="360">
								
								
								 
								
								
								İsim  : 
								
								
								 
								
								
								 
								
								
								 
								
								
								 
								
								
								İMZA
								
								
								 
								
								
								 
								
								
								 
								
								
								 </td>
							</tr>
						</table>
						</div>
						
						
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