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Human Automobile

House No. 39, Road. 08, Abdur Rafiq Housing, Shekertek,


Adabor, Mohammadpur, Dhaka

Mobile No.: 01685103899, 01913751579


Email: humanautomobile@gmail.com

SL No: 31……. Date:

Customer Details

Customer’s Name:

Customer’s Fathers Name:

Address:

Phone No: ID Card No:

Bike Details

Registration No :

Chassis No :

Engine No : Company Name :

Model & Color : Capacity (CC) :

Registration Card Smart Card Tax Token

N.B. From Date………………………, buyer …………………………………. has all necessary legal documents to run
the bike properly in the street and from today Human Automobiles is no longer responsible for anything

Customer Sign Witness Sign Seller Sign

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