1ST. FREE INSPECTION COUPON
(Customer’s copy)
(1,000 KM or 1 MONTH)
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
1ST. FREE INSPECTION COUPON
(Selling dealer copy)
(1,000 KM or 1 MONTH)
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
1ST. FREE INSPECTION COUPON
(Servicing W/S copy)
(1,000 KM or 1 MONTH)
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