Mechanic’s Signature
Service Manager’s Signature
Customer’s Signature
Model Code
*
Chassis No. :
Engine No. :
Mileage
Date of Delivery
Date of Inspection
Registration No.
Service Dealer/Mass Code
Stamp of Selling dealer
(Code & Full Address)
For Servicing Dealer/Mass
1.0 : Please fill up Model codes correctly.
2.0 : Please fill up Complete chasis No.
3.0 : Please fill up customer details i.e. Address
and Telephone No. legibly and correctly for
the latest owner.
For Selling Dealer
1.0 : Please send all Free Service Coupon to us
once in a month after settlement of free
service charges.
Service Division
Maruti Suzuki India Limited
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