25
Data Request
Car PassYour organization name
To be filled out by authorized dealership: Comment, plant security
1. Dealership name
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2. Name of contact partner
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3. Dealership number
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4. Address
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5. Tel:
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6. Name of registered keeper
7. Reason for request (please mark with cross)
- Loss by customer
- Loss by dealership
- New delivery Car Pass
- Theft
8. Vehicle type
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9. VIN
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10. Engine type / No
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Requested data (please mark with cross)
11. Security Code :
12. Key No. :
13. Radio code (if lost, please supply radio unit number)
14. CD-changer code (if lost, please supply CD-changer unit
number)---------------------------------------------------------
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Important Instructions:
Only data corresponding to the delivery status of the vehicle Ex works can be Issued.
Car pass requests will only be processed if they are filled out completely, signed and sent to
your organization along with proof of ownership (enclosure).
Information via telephone is only possible in exceptional circumstances via your service organization.
Comments form Plant Security
No signature
Data / proof of ownership missing,
Please complete
Data / proof of ownership incomplete,
please resend
Illegible due to poor fax communication,
Please supply
Data, signature / stamp Data, signature
(Dealership)(Plant Security)
Enclosure : Proof of ownership
