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ISSUE EXTENDEDWARRANTY

OWNERS NAME

EMIRATES ID NUMBER

MOBILE NUMBER

EMAIL ADDRESS

CHASSIS NUMBER

ENGINE NUMBER

MODEL YEAR, MAKE & MODEL

VEHICLE PURCHASE PRICE

MULKIA REGISTRATION DATE

MILEAGE ON DATE OF MULKIA REGISTRATION

IS THE VEHICLE UNDER MANUFACTURER WARRANTY?

YES

NO

EXTENDED WARRANTY START DATE

EXTENDED WARRANTY END DATE

EXTENDED WARRANTY CUT OFF KM