2ND. FREE INSPECTION COUPON
(Customer's copy)
(5,000 KM or 6 MONTHS)
Model Name
Model Code*
VIN
Engine No.
Mileage
D D M M Y Y
Invoice Date
D D M M Y Y
Date of Inspection
Registration No.
Customer Name
Ph. No.
Service workshop / MASS Code (fill below)
—
—
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
Workshop In charge
Signature
For periodic maintenance schedule,
refer to "Inspection and Maintenance"
section of this manual
2ND. FREE INSPECTION COUPON
(Selling dealer copy)
(5,000 KM or 6 MONTHS)
Model Name
Model Code*
VIN
Engine No.
Mileage
D D M M Y Y
Invoice Date
D D M M Y Y
Date of Inspection
Registration No.
Customer Name
Ph. No.
Service workshop / MASS Code (fill below)
—
—
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
Workshop In charge
Signature
2ND. FREE INSPECTION COUPON
(Servicing W/S copy
(5,000 KM or 6 MONTHS)
Model Name
Model Code*
VIN
Engine No.
Mileage
D D M M Y Y
Invoice Date
D D M M Y Y
Date of Inspection
Registration No.
Customer Name
Ph. No.
Service workshop / MASS Code (fill below)
—
—
COST OF MATERIALS AND CONSUMABLES TO BE
BORNE BY CUSTOMER
Workshop In charge
Signature