Warranty Claim

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Car Owner Information

Name of Car Owner^*

Mobile No.^*

Email Id

State^*

City Name^*

Car Information

Car Model^*

Car Registration No.^*

Odometer Reading (kms)

Purchase Information

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City^*

Dealer^*

Warranty Card No.*
Invoice Date*
Invoice Number*

Tyre Sizes*
 
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Tyre Model^*

Pattern^*

Tyre Quantity^*

Tyre Serial No.^*

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