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(Bizform) Formulir Pemeriksaan Kendaraan 2
(Bizform) Formulir Pemeriksaan Kendaraan 2
Date/ Tanggal :
Time/ Waktu :
Vehicle Make
Vehicle Model
Colour
Registrasi Number
Odometer Reading
License Disc
Next Service
Owner
Driver
Indicate the location of any scrathes, dents and windshield carcks longer than 5 cm and interior condition
problems/ Tunjukkan lokasi goresan, penyok dan loker mobil lebih panjang dari 5 cm dan masalah kondisi
interior
Interior
Operational
Description Remarks
Yes No
Air Conditioner
Radio
Windows
Dial Gauges
Iinterior Fan
Seat Condition
Seat Belt Condition
Interior Lights
Handbrake
Hoother
Gear Lever
Instrument Cluster
Diagnostic Lights
Hazard Warning Light
Vehicle Doors
1
Nama Perusahaan
LOGO (Alamat Perusahaan)
(Telephon Perusahaan) (Faksimili)
(Website Perusahaan)
Exterior
Operational
Description Remarks
Yes No
Head Lights
Head Light Low Beam
Head Light High Beam
Indicators
Brake Lights
Tail Lights
Reverse Lights
Windscreen Wiper Arms
Windscreen Wiper Blades
Tyres
Wheels/ Rims
Side View Mirrors
Vehicle Antenna
Number Plate Lights
Spare Wheel
Jack
Spanner
Tri-Angle
2
Nama Perusahaan
LOGO (Alamat Perusahaan)
(Telephon Perusahaan) (Faksimili)
(Website Perusahaan)
Engine Bay
Operational
Description Remarks
Yes No
Reservoir Covers
Dipstick
Oil Filler Cap
Oil Level
Power Steering Fluid Level
Coolant Level
Windscreen Washer Pipe
Windscreen Washer Bottle
Brake Fluid
Oil/ Fluid Leaks
Radiator
Air Hoses
Fuel Lines
Water Hoses
Battery
Battery Terminals
V Belts
Cambelt
Road Test
Operational
Description Remarks
Yes No
Cruise Control
Wheel Alignment
Acceleration
Steering
Noises
Handling
Cluth Operation
Vehicle Start
Vehicle Idle
I, the undersigned agree that all the damage recorded above was on the vehicle on the date and at the time
shown on this document/ Saya yang bertanda tangan di bawah ini setuju bahwa kerusakan pada kendaraan
yang tercatat adalah benar, semenjak dokumen ini dibuat pada tanggal dan waktu yang berjalan.
Signed: