Focal Park J&Y

Maybank Berhad / Maybank Islamic Berhad MOTORS SDN

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

REG NO : WB9999D REPO. DATE : 21/03/2024 TRANSMISSION : Manual X Auto

MAKE & MODEL : MERCEDES-BENZ E250 AMG CGI YEAR OF MAKE : 2012 PRESENTATION : X Towed Drive

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

OF MODEL
BRANCH : Level 14 ALARM : Yes X No

SECTION A - EXTERIOR SECTION D - GENERAL APPEARANCE

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

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

Mileage : 0
Yes/Good No/Fair Broken/Bad Remark
1. Dash Board
2. Meter Gauge
3. Clock
4. Gear Knob
5. Cigarette Lighter
6. Ashtray
7. Roof Light
8, Sleering
9. Door Panel Cover
10. Door Lock
11. Rubber Mats
12. Seats
13. 3rd Brake Light
14. Road Tax Disc Expiry Date :
15. Cassette Player Brand : SECTION F - DEFECT
16. CD Player Brand :
17. CD Changer Brand :
18. Front Speakers Brand :
19. Rear Speakers Brand :
20. Woofer Box Brand :
21. Amplifier Brand : SECTION G - TYRE
Front(Left) Brand:
SECTION C- ENGINE COMPARTMENT/BOOT Front(Right) Brand:
Rear(Left) Brand:
Engine No : - Rear(Right) Brand:
Chassis No : -
1. Engine : Yes No Dismantled SECTION H- INSPECTION CONFIRMATION
Working Not Working
Repossessed by : Acknowledged by storekeeper : Verified by staff:

Yes/Good No/Fair Broken/Bad

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