3RD. FREE INSPECTION COUPON
(Customer’s copy)
(10,000 KM or 12 MONTHS)
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
3RD. FREE INSPECTION COUPON
(Selling dealer copy)
(10,000 KM or 12 MONTHS)
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
3RD. FREE INSPECTION COUPON
(Servicing W/S copy)
(10,000 KM or 12 MONTHS)
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
Model Name
Model Code*
VIN
Engine No.
Mileage
Invoice Date
Date of Inspection
Registration No.
Customer Name
Ph. No.
Service workshop / MASS Code (fill below)
Workshop In charge
Signature
Model Name
Model Code*
VIN
Engine No.
Mileage
Invoice Date
Date of Inspection
Registration No.
Customer Name
Ph. No.
Service workshop / MASS Code (fill below)
Workshop In charge
Signature
Model Name
Model Code*
VIN
Engine No.
Mileage
Invoice Date
Date of Inspection
Registration No.
Customer Name
Ph. No.
Service workshop / MASS Code (fill below)
Workshop In charge
Signature
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For periodic maintenance schedule,
refer to “Inspection and Maintenance”
section of this manual
D D M M Y Y
D D M M Y Y
D D M M Y Y
D D M M Y Y
D D M M Y Y
D D M M Y Y