IFB 25BCSDD1 - Page 41

CUSTOMER COPY
Mr./Mrs./Ms
Address
Telephone No.:
Model Name:
Serial No.:
Date of Purchase:
Cash Memo No.:
Dealer Name and:
Address stamp:
SERVICE STATION COPY
Mr./Mrs./Ms
Address
Pin code :
Telephone No.: (R) ___________________ (0) ___________________
Model Name:
Serial No.:
Date of Purchase:
Cash Memo No.: