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BATTERY MAKE
BATTERY TYPE
BATTERY SR. NO.
W/C NO.
DATE OF PURCHASE
POINT OF PURCHASE
VEHICLE MAKE
REG. NO. OF VEHICLE
YEAR OF VEHICLE
PHYSICAL CONDITION OF BATTERY
INDICATOR
TYPE OF PROBLEM
SINCE WHEN THE PROBLEM IS NOTICED
REASON FOR REPORTING THE DELAY
NAME
EMAIL
PHONE
ADDRESS
LANDMARK
I hereby declare that the above information provided by me to use service assistance by battery master ltd. To attend under warranty claim on my battery is true and if any information is found to be false I will be liable to pay the costs involved to provide service assistance to me.
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