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OWNER DETAILS
NAME*
ADDRESS*
CITY*
POSTCODE*
Email*
PHONE
MOBILE
FAX
PRODUCT DETAILS / ENGINE / TRANSMISSION / OTHER
INVOICE NO
DATE
Date Format: MM slash DD slash YYYY
SERIAL NO
TOTAL HOURS OF OPERATION
SCAN CODES
HEAT TAG MELTED
- Yes
- No
DATE OF INSTALLATION
Date Format: MM slash DD slash YYYY
DATE OF FAILURE
Date Format: MM slash DD slash YYYY
KM READING WHEN FITTED
KM READING WHEN FAILED
INSTALLED BY :
CONTACT NUMBER
DESCRIPTION / REASON FOR THE FAILURE/ DETAILED (NOT WORKING IS INSUFFICIENT)
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