Doc Ref No FM Form 2.
2
Doc Name Vehicle Body - Accessory Checklist
Version 17.0102
www.dnsmrz.com.ph
Plate No. Date Time
Driver Delivery
Client Pullout
Gas out E 1/8 1/4 3/8 1/2 5/8 3/4 7/8 F Delivery Pull-out
Gas In E 1/8 1/4 3/8 1/2 5/8 3/4 7/8 F Odometer
No Parts Y/N Remarks/Brand No Parts Y/N Remarks/Brand
1 Registration 15 SD Card
2 Owner's Manual 16 Gas Cap
3 Warranty Booklet 17 Jack w/handle
4 Horn 18 Tire wrench
5 Mattings 19 Tire rim
6 Seat Covers 20 Hub/center caps
7 Ashtray/lighter 21 Tires
8 Knobs 22 Tire spare(reserve)
9 Sun Visors 23 Battery
10 Aircon System 24 Plates(rear/front)
11 Dome light w/ Lens 25 Keys
12 Radio & Antenna 26 EWD
13 RFID 27 Tools
14 Fire Extinguisher 28 Other's
// - Scratches X - Dents O - Damage
Acknowledgement Delivery / Endorsed By Pullout / Received By
Signature
Printed Name
Corporate Office: Lot 10 Capri Access Road, Km 21 West Service Road, Cupang, Muntinlupa City, Philippines 1771, Tel Nos. +63 2 807-7812 / 403-9273 / 659-7019