MotorcarInspectionForm - PERODUA MYVI 1.3 SE (A) PDF

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Focal Park ALOR

Ambank (M) Berhad SETAR


INSPECTION AND VALUATION OF VEHICLES
REG CARD : Yes No Pending PUSPAKOM INSPECTION VRI : Done X Not Done

REG NO : KCL9930 REPO. DATE : 10/09/2020 TRANSMISSION : Manual X Auto

MAKE & MODEL : PERODUA MYVI 1.3 SE (A) YEAR OF MAKE : 2009 PRESENTATION : Towed X Drive

AGREEMENT NO. : SPECIFIC TYPE : PERODUA MYVI KEY : X Yes No


OF MODEL
BRANCH : Kuala Lumpur ALARM : X Yes No

SECTION A - EXTERIOR SECTION D - GENERAL APPEARANCE

Yes/Good No/Fair Broken/Bad Remark Overview : GOOD X FAIR BAD ACCIDENT UNIT
1. Paintwork : X
2. Emblem : X
3. Spot Light : X
4. Wipers : X
5. Windows Glass : X
6. Spoiler : X
7. Antena : X
8. Wheet Cap : X
9. Exhaust Pipe : X
10. Head Lamp : X
11. Side Mirror : X
12. Tail Lamp : X
13. Front Signal : X
14. Door Handle : X
15. Windscreen : X
16. Mudguard : X
17. Front Bumper : X
18. Back Bumper : X
19. Tyres : X VIKING (2) ROVELO (1) SAFERICH (1)
20. Rims : X BBS Chassis Tampered Engine Changed Roof Pillars Floor Board

SECTION B - INTERIOR SECTION E - REMARKS ON OVERALL CONDITION OF THE VEHICLE


Mileage : 317000
1,2,3,4,18,19,20,21,22,10,11 - CALAR
Yes/Good No/Fair Broken/Bad Remark
12 - RETAK
1. Dash Board X
2. Meter Gauge X
3. Clock X
4. Gear Knob X
5. Cigarette Lighter X
6. Ashtray X
7. Roof Light X
8, Sleering X
9. Door Panel Cover X
10. Door Lock X
11. Rubber Mats X 4
12. Seats X
13. 3rd Brake Light X
14. Road Tax Disc X Expiry Date : 30/09/2020
15. Cassette Player X Brand : SECTION F - DEFECT
16. CD Player X Brand : NO BRAND
17. CD Changer X Brand :
18. Front Speakers X Brand : NO BRAND
19. Rear Speakers X Brand : NO BRAND
20. Woofer Box X Brand :
21. Amplifier X Brand : SECTION G - TYRE
Front(Left) Brand: ROVELO
SECTION C- ENGINE COMPARTMENT/BOOT Front(Right) Brand: SAFERICH
Rear(Left) Brand: VIKING
Engine No : E37B56L Rear(Right) Brand: VIKING
Chassis No : PM2M301S002299212
1. Engine : X Yes No Dismantled SECTION H- INSPECTION CONFIRMATION
X Working Not Working
Repossessed by : Acknowledged by storekeeper : Verified by staff:

Yes/Good No/Fair Broken/Bad


2. Gear Box X
3. Clutch X
4. Radiator X
5. Air Conditioner X
6. Computer Box X
7. Jack X
8. Tool Set X Name : Name : Name :
7. Battery X Brand : YOKOHAMA
8. Spare Tyre X Brand : GOODYEAR I/C No: :
Date Co. chop
Date : : I/C No: :
Date
9. The Engine Number has been checked and tally with our records X Yes No Tow Truck No :

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