P2SOP-29A

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Date : …………………………..………….

The Branch Manager

PERODUA SALES SDN BHD

Lot 18, Seksyen 86, Jalan Pahang
53200 Kuala Lumpur
Tel : 03-40320161 Fax : 03-40318216

Dear Sir/Madam,

Letter of Authorization for Perodua Sales Sdn Bhd to Deliver Vehicle at a Specified Location

I/We, the undersigned, as the purchaser of the vehicle, particulars as below, hereby authorize
Mr/Madam/Ms (Sales Representative) ……………………….………… I/C Number ……………………….. to
deliver the said vehicle:-

Model : ………………………………………………………………………………..
Chassis No. : ………………………………………………………………………………..
Engine No. : ………………………………………………………………………………..
Registration No. : ………………………………………………………………………………..

to the following location:-

Address : ………………………………………………………………………………..
………………………………………………………………………………..
………………………………………………………………………………..
………………………………………………………………………………..
Estimation date of : ………………………………………………………………………………..
delivery

I /We hereby confirm that any or all charges and expenses incurred in connection with the said delivery of
the vehicle shall be borne by me/us.

I/We shall undertake and accept full liability and responsibility for the said delivery and shall indemnify and
keep Perodua Dealer harmless from and against any liability, claim, proceeding, inconvenience, expense
and loss in respect of any injury and damage whatsoever arising out of, during or in connection with the
delivery of the vehicle. I/We further undertake that I/we shall have no further claim whatsoever against
Perodua Dealer and its personnel in respect of the above matter.

Thank you.

Yours truly, Acknowledged by

Branch Manager/Branch Executive,

………………………………………………… ……………………………………. …
Name : ……………………………………... Name:
I / C No: …………………………………...…. Date:
Date : ………………………………………