You are on page 1of 1

Nama Pemilik / Owner's Name : ...........................................

Alamat / Address : ...........................................

12 MONTH (20,000 KM) FREE INSPECTIONSERVICE COUPON


KUPON PEMERIKSAAN GRATIS 12 BULAN (20.000 KM)
...................................................................................................

No. Telepon (HP) /


Phone Number (HP) : ...........................................
Model Kendaraan / Vehicle Model : ...........................................

No. Mesin / Engine No. : ...........................................

No. Rangka / Chassis No. : ...........................................

Dealer penjual / Selling Dealer : ...........................................

Penyerahan Tgl. / Delivery Date : ................... KM .................

Pemeriksaan Tgl. / Inspection Date : ................... KM .................

Kode Bengkel / Workshop Code : ...........................................

Gratis jasa pemeriksaan, oli dan part/material di tanggung pemilik kendaraan.


Free service labour, oil and parts/materials are charged to the customer.

41

You might also like