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Name of Purchaser *

Tel No *

Car Registration No *

Car Model *

Year Made *

Date Of Purchase *

Odo Meter Reading/Mileage

Car Photo With Car Registration No.

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Battery Model *

Battery Model Other

Coupon Code

Terms & Conditions *

*All items above MUST be fully fielded to qualify for NATION-WIDE WARRANTY.

*Please click me for more details about national warranty programme

*Battery without national warranty sticker or it is being removed shall not be eligible for national warranty programme. Conventional warranty procedures shall apply.

*E-warranty registration must be done within 14 days from the date of purchase to be eligible for Nationwide warranty.

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