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Inspection Report

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prashik.komaki
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199 views

Inspection Report

Uploaded by

prashik.komaki
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CERTIFICATE OF INSPECTION TO BE ISSUED BY APPROVED DEALER

Dealer No : MH20TC1236
Dealer Name : JUST CLEAN LANDROMATES KOMAKI ELECTRIC VEHICLES
Dealer Address : SHOP NO G8 GUT NO 113, GROUND FLOWER TISAGAV, , , -
Certified that the following vehicle sold and delivered by us to

Pencil Print of Chassis No.:- Taken by Authorized Dealer OR it's Authorized Person
Verified
1. Vehicle Owner Name :SHAIKH MOHAMMED YUNUS
ARIF
2. Address :AHMADNAGAR 118-SHIREEN
BAGH,, FAKIR WADA
MAULANA AZAD SCHOOL,
JAVAL, Ahmadnagar,
Maharashtra-414001
3. Dated :26-Aug-2024
Complies with the provisions of the Motor Vehicles Act, 1988 and the rules
made there under:
4. Type of Vehicle :M-CYCLE/SCOOTER (2WN)
5. Brand Name of Vehicle :KLB KOMAKI PVT LTD/CAT 3.0
NXT
6. Chassis Number :M0EB10CWURA000818
7. Engine number(motor number,In :KL72V1000W2023101007
case of battery operated vehicle)
8. Sale Invoice No. :................................

9. Sale Certificate No.(Form No. :................................


21)
10. Sale Certificate Date :................................

11. Emission Norms :NOT AVAILABLE


12. Fuel Type :ELECTRIC(BOV)
13. No. of Cylinders :0
14. In case of CNG/LPG Operated vehicle
(a) Tank/Cylinder No. :0
(b) Vaporizer No. :................................

i. I here by declare that this vehicle is originally delivered from the manufacturer to us.
ii. I hereby declare that this vehicle has been sold to the person as new vehicle whose name and address is
mentioned above.
iii. What is stated hereinabove are true to the best of my knowledge and I believe the same to be true.

Signature Seal of the Authorized Dealer


Instructions:
i. Pencil print of the chassis number must be obtained and signed below that number by the Approved Dealer. or Its
authorized person.
ii. To be checked and filled after physical inspection only by the authorized dealer or Its authorized person.

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