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Job No: RC-REP-2026-0006
1. Customer Information *
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Dilshan Perera (Apex Tech) • 0761234567 (RC-CUST-1003)
Kasun Chamara • 0715984210 (RC-CUST-1001)
Ruwan Jayasuriya • 0728901234 (RC-CUST-1004)
Sunil Wickramasinghe • 0774321908 (RC-CUST-1002)
2. Device & Hardware Details
Hardware / Device Type *
Laptop / Notebook
Desktop PC / System Unit
Gaming PC / Rig
Motherboard
Graphics Card (GPU)
Monitor / Display
Printer / Scanner
Power Supply (PSU) / UPS
Hard Drive / SSD / Data Recovery
Other Hardware Component
Brand & Model Name *
Serial Number (Optional)
Accessories Received with Item
Customer Reported Fault / Problem Description *
3. Estimate & Intake Setup
Assigned Technician
Estimated Cost (Rs.)
Advance Deposit Paid (Rs.)
Received Date *
Est. Completion Date
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Customer Full Name *
Mobile Phone Number *
Address (Optional)
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