Republic of the PhilippinesDepartment of Agriculture

PHILIPPINE COUNCIL FOR AGRICULTURE AND FISHERIESApacible Hall, Department of Agriculture Compound,

Elliptical Road, Diliman, Quezon CityTel. No.: (02) 920-3995 locals 2615

Email address: namdac.pcaf@gmail.comNATIONAL AGRICULTURAL AND FISHERIES MACHINERY ASSEMBLERS, MANUFACTURERS, IMPORTERS, DISTRIBUTORS AND DEALERS ACCREDITATION AND CLASSIFICATION (NAMDAC) BOARD

PCAF

NAMDAC- F0RM-06Page 1 of 1Revision 01Eff. Date Feb. 2021

AFTER-SALES SERVICE COMPLETION REPORT

NAME OF CUSTOMER:(LAST NAME, FIRST NAME, MIDDLE INITIAL)

DATE:

ORGANIZATION: ADDRESS: MOBILE NUMBER:

NAME OF TECHNICIAN:

SUPPLIER:

TYPE OF A&F MACHINERY FOR SERVICING:

STATUS: _____ UNDER WARRANTY _____ BEYOND WARRANTY

COMPLAINT RECEIVED:

SERVICE RENDERED:

REMARKS:

SAMPLE PICTURE/S OF THE A&F MACHINERY BEFORE AND AFTER REPAIR/SERVICE:

The undersigned persons attest that the customer’s complaint had already been properly addressed by the A&F machinery supplier.

Customer’s Signature Company Technician’s Signature

Note: Please write all details in clear and printed form.