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VEHICLE DELIVERY ACKNOWLEDGMENT RECEIPT

It is hereby confirmed that we have taken the physical delivery of the vehicle bearing Registration No. <DLZZZZZZZ>
from < Customer Name> on <Date & Time> at Odometer reading <Reading> kms.

This receipt is governed as per the Terms and Conditions of the Vehicle Form bearing the above mentioned
appointment details submitted by the Customer/ Authorized Representative.

ACKNOWLEDGED & ACCEPTED

(Authorized Representative) (Registered Owner/ Authorized Representative)

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