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Form - Request For ICC Sticker For Helmet - Visor - Rev 01aug
Form - Request For ICC Sticker For Helmet - Visor - Rev 01aug
Form - Request For ICC Sticker For Helmet - Visor - Rev 01aug
N
Action:
Source from/ Bought from (Establishment/Location): I certify to the correctness of the above information and futher certify that the helmet has not been subjected to impact, dropped or used during a road accident.
Note: To be filled out by Standards Officer / Authorized Officer during evaluation: Brand:
ToStandards/AuthorizedOfficers: Pleaseencirclenameofpartsifavailable
FO
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R
- Others:
Condition of helmet:
a. Safety parts complete & not broken (Shell, retention system, protective & comfort paddings
or other solvents d. Brand name and size still evident on the face of the helmet. Brand has not been altered.
LE SA