DELIVERY CERTIFICATE
(To be filled in at the time of delivery of Motorcycle)CUSTOMER’S NAME
ADDRESS
No.Please Tick
against
appropriate Nos.
Engine No.
1. Colour : Date of sale :
9. Vehicle Owned : 2. Marital Status :
3. Age Group :
4. Family Income (PM) :
5. Education :
6. Occupation :
7. Mode of Purchase :
8. What Prompted you to :
Purchase Vehicle
Frame No. :
Dealer
SSO Sub DealerBranchConsultant
DDMMYYYY
1 Single
Married 2
1 18-24
2
25-29 3
30-34 4
35-39 >405
1 <5000
2
5000-10000
10000-15000 3
15000-20000 >20000
4
5
1 High School
Under Graduate
2
GraduatePost Graduate 3
4
Student 1
Business
2 ServiceAgriculture 34
Cash 1
Finance
2 Institutional3
News Paper/Magazine 1
Friends
Hoarding
2
3
Mechanics 4
5
TV 5
1
Black
2 White 3 Red 4BrownBlue / Dark Blue
6 Gold 7 Green
8 Silver / Gray
1 0 Other
9 Maroon
1
234 5Sold by :
First 2 Wheeler 1
Previous 2 wheeler
1
2
23 H H TVSBAJAJ LML
4
10-37
SERVICE2.pmd2/25/2005, 10:01 AM 7
